Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.13 / $1,671.13 / $1,671.13	Facility		$1,671.13	$1,671.13	$1,671.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,549.38 / $1,671.13 / $1,671.13	Professional		$1,549.38	$1,671.13	$1,671.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,253.58 / $3,449.85 / $4,312.32	Professional		$3,253.58	$3,449.85	$4,312.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,618.44 / $4,344.34	Facility		$2,000.00	$2,618.44	$4,344.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,731.71 / $3,184.05 / $19,773.00	Professional		$1,731.71	$3,184.05	$19,773.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $3,892.77 / $5,048.35	Facility		$2,960.00	$3,892.77	$5,048.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,881.69 / $3,558.92 / $4,389.63	Professional		$2,881.69	$3,558.92	$4,389.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,964.71 / $2,774.59 / $3,163.34	Professional		$1,964.71	$2,774.59	$3,163.34
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 $1,731.71 / $3,246.20 / $4,396.34	Professional		$1,731.71	$3,246.20	$4,396.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,262.90 / $3,838.70 / $3,992.20	Professional		$3,262.90	$3,838.70	$3,992.20