Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,865.99 / $1,865.99 / $1,865.99	Facility		$1,865.99	$1,865.99	$1,865.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,734.01 / $1,865.99 / $1,865.99	Professional		$1,734.01	$1,865.99	$1,865.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,618.03 / $3,836.29 / $4,795.35	Professional		$3,618.03	$3,836.29	$4,795.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,930.48 / $5,067.56	Facility		$2,000.00	$2,930.48	$5,067.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,045.20 / $3,677.47 / $13,305.12	Professional		$2,045.20	$3,677.47	$13,305.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,605.00 / $4,413.77 / $5,786.69	Facility		$3,605.00	$4,413.77	$5,786.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,299.00 / $4,045.82 / $5,011.64	Professional		$3,299.00	$4,045.82	$5,011.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,333.60 / $3,154.18 / $3,596.12	Professional		$2,333.60	$3,154.18	$3,596.12
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 $2,165.44 / $3,609.08 / $4,982.14	Professional		$2,165.44	$3,609.08	$4,982.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,709.20 / $4,363.80 / $4,538.39	Professional		$3,709.20	$4,363.80	$4,538.39