Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,906.64 / $1,906.64 / $1,906.64	Facility		$1,906.64	$1,906.64	$1,906.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,765.70 / $1,906.64 / $1,906.64	Professional		$1,765.70	$1,906.64	$1,906.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,700.33 / $3,923.55 / $4,904.43	Professional		$3,700.33	$3,923.55	$4,904.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,984.03 / $4,939.64	Facility		$2,000.00	$2,984.03	$4,939.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,984.20 / $3,658.76 / $25,568.00	Professional		$1,984.20	$3,658.76	$25,568.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,431.00 / $4,447.97 / $5,790.85	Facility		$3,431.00	$4,447.97	$5,790.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,289.68 / $4,066.92 / $5,038.97	Professional		$3,289.68	$4,066.92	$5,038.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,256.42 / $3,072.84 / $3,614.88	Professional		$2,256.42	$3,072.84	$3,614.88
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 $1,916.68 / $3,607.64 / $5,040.08	Professional		$1,916.68	$3,607.64	$5,040.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,728.60 / $4,386.60 / $4,562.00	Professional		$3,728.60	$4,386.60	$4,562.00