Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,903.12 / $1,903.12 / $1,903.12	Facility		$1,903.12	$1,903.12	$1,903.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,767.56 / $1,880.15 / $2,068.16	Professional		$1,767.56	$1,880.15	$2,068.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,703.27 / $3,926.66 / $4,908.33	Professional		$3,703.27	$3,926.66	$4,908.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,987.18 / $5,067.56	Facility		$2,000.00	$2,987.18	$5,067.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,992.99 / $3,741.55 / $13,540.88	Professional		$1,992.99	$3,741.55	$13,540.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,467.00 / $4,491.72 / $5,880.53	Facility		$3,467.00	$4,491.72	$5,880.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.10 / $4,128.80 / $5,091.77	Professional		$3,311.10	$4,128.80	$5,091.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,421.40 / $3,218.86 / $3,669.86	Professional		$2,421.40	$3,218.86	$3,669.86
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 $1,992.99 / $3,623.62 / $5,083.64	Professional		$1,992.99	$3,623.62	$5,083.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,785.30 / $4,453.30 / $4,631.39	Professional		$3,785.30	$4,453.30	$4,631.39