Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,611.58 / $1,611.58 / $1,611.58	Facility		$1,611.58	$1,611.58	$1,611.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,497.27 / $1,611.58 / $1,611.58	Professional		$1,497.27	$1,611.58	$1,611.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,125.00 / $3,313.51 / $4,141.89	Professional		$3,125.00	$3,313.51	$4,141.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,998.94 / $2,723.57 / $4,961.30	Facility		$1,998.94	$2,723.57	$4,961.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,992.77 / $3,623.22 / $11,481.28	Professional		$1,992.77	$3,623.22	$11,481.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,065.00 / $3,808.70 / $4,988.91	Facility		$3,065.00	$3,808.70	$4,988.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,806.75 / $3,490.52 / $4,323.14	Professional		$2,806.75	$3,490.52	$4,323.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,041.26 / $2,721.25 / $3,200.38	Professional		$2,041.26	$2,721.25	$3,200.38
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 $1,992.77 / $3,185.62 / $4,298.84	Professional		$1,992.77	$3,185.62	$4,298.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,200.10 / $3,764.90 / $3,915.50	Professional		$3,200.10	$3,764.90	$3,915.50