Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,823.62 / $1,823.62 / $1,823.62	Facility		$1,823.62	$1,823.62	$1,823.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,690.09 / $1,823.62 / $1,823.62	Professional		$1,690.09	$1,823.62	$1,823.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,549.70 / $3,763.83 / $4,704.79	Professional		$3,549.70	$3,763.83	$4,704.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,856.25 / $4,743.93	Facility		$2,000.00	$2,856.25	$4,743.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,890.68 / $3,475.82 / $21,307.00	Professional		$1,890.68	$3,475.82	$21,307.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,229.00 / $4,247.59 / $5,510.33	Facility		$3,229.00	$4,247.59	$5,510.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,144.12 / $3,885.71 / $4,792.14	Professional		$3,144.12	$3,885.71	$4,792.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,258.78 / $3,029.35 / $3,453.80	Professional		$2,258.78	$3,029.35	$3,453.80
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 $1,890.68 / $3,084.64 / $4,798.33	Professional		$1,890.68	$3,084.64	$4,798.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,562.40 / $4,191.10 / $4,358.80	Professional		$3,562.40	$4,191.10	$4,358.80