Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,854.94 / $1,854.94 / $1,854.94	Facility		$1,854.94	$1,854.94	$1,854.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,719.33 / $1,854.94 / $2,712.97	Professional		$1,719.33	$1,854.94	$2,712.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,608.48 / $3,826.16 / $4,782.70	Professional		$3,608.48	$3,826.16	$4,782.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,134.85 / $4,791.64	Facility		$2,000.00	$3,134.85	$4,791.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,924.84 / $3,541.25 / $22,475.32	Professional		$1,924.84	$3,541.25	$22,475.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,276.00 / $4,323.46 / $5,612.54	Facility		$3,276.00	$4,323.46	$5,612.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,199.61 / $3,953.39 / $4,881.39	Professional		$3,199.61	$3,953.39	$4,881.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,242.79 / $3,082.12 / $3,513.96	Professional		$2,242.79	$3,082.12	$3,513.96
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 $1,924.84 / $3,379.54 / $4,886.50	Professional		$1,924.84	$3,379.54	$4,886.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,624.50 / $4,264.10 / $4,434.70	Professional		$3,624.50	$4,264.10	$4,434.70