Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,022.93 / $2,022.93 / $2,022.93	Facility		$2,022.93	$2,022.93	$2,022.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,874.08 / $2,022.93 / $2,022.93	Professional		$1,874.08	$2,022.93	$2,022.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,930.31 / $4,167.41 / $5,209.26	Professional		$3,930.31	$4,167.41	$5,209.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,418.75 / $5,288.47	Facility		$2,000.00	$3,418.75	$5,288.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,103.65 / $3,876.42 / $20,556.45	Professional		$2,103.65	$3,876.42	$20,556.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,507.00 / $4,688.53 / $6,138.12	Facility		$3,507.00	$4,688.53	$6,138.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,490.96 / $4,317.28 / $5,339.49	Professional		$3,490.96	$4,317.28	$5,339.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,454.26 / $3,365.82 / $3,837.41	Professional		$2,454.26	$3,365.82	$3,837.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,103.65 / $3,937.92 / $5,341.42	Professional		$2,103.65	$3,937.92	$5,341.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,958.10 / $4,656.60 / $4,842.89	Professional		$3,958.10	$4,656.60	$4,842.89