Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,824.05 / $1,824.05 / $1,824.05	Facility		$1,824.05	$1,824.05	$1,824.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,688.54 / $1,824.05 / $2,660.07	Professional		$1,688.54	$1,824.05	$2,660.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,540.15 / $3,753.70 / $4,692.13	Professional		$3,540.15	$3,753.70	$4,692.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,885.80 / $4,771.43	Facility		$2,000.00	$2,885.80	$4,771.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,009.30 / $3,653.28 / $24,074.39	Professional		$2,009.30	$3,653.28	$24,074.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,202.00 / $4,254.18 / $5,540.58	Facility		$3,202.00	$4,254.18	$5,540.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,146.24 / $3,891.53 / $4,822.21	Professional		$3,146.24	$3,891.53	$4,822.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,274.42 / $3,033.89 / $3,458.97	Professional		$2,274.42	$3,033.89	$3,458.97
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 $2,191.96 / $3,315.17 / $4,822.41	Professional		$2,191.96	$3,315.17	$4,822.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,567.80 / $4,197.39 / $4,365.30	Professional		$3,567.80	$4,197.39	$4,365.30