Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,982.72 / $1,982.72 / $1,982.72	Facility		$1,982.72	$1,982.72	$1,982.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,838.30 / $1,982.72 / $1,982.72	Professional		$1,838.30	$1,982.72	$1,982.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,859.04 / $4,091.83 / $5,114.79	Professional		$3,859.04	$4,091.83	$5,114.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,106.73 / $5,102.47	Facility		$2,000.00	$3,106.73	$5,102.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,170.36 / $3,946.10 / $25,568.00	Professional		$2,170.36	$3,946.10	$25,568.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,507.00 / $4,622.60 / $6,001.52	Facility		$3,507.00	$4,622.60	$6,001.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,420.94 / $4,227.77 / $5,217.47	Professional		$3,420.94	$4,227.77	$5,217.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,319.48 / $3,194.37 / $3,757.84	Professional		$2,319.48	$3,194.37	$3,757.84
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 $2,367.66 / $3,911.56 / $5,224.16	Professional		$2,367.66	$3,911.56	$5,224.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,876.10 / $4,560.10 / $4,742.50	Professional		$3,876.10	$4,560.10	$4,742.50