Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,813.33 / $1,813.33 / $1,813.33	Facility		$1,813.33	$1,813.33	$1,813.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,679.96 / $1,813.33 / $1,813.33	Professional		$1,679.96	$1,813.33	$1,813.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,526.92 / $3,739.68 / $4,674.60	Professional		$3,526.92	$3,739.68	$4,674.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,839.13 / $4,487.24	Facility		$2,000.00	$2,839.13	$4,487.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,875.52 / $3,457.80 / $12,737.20	Professional		$1,875.52	$3,457.80	$12,737.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,094.00 / $4,140.35 / $5,486.33	Facility		$3,094.00	$4,140.35	$5,486.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,827.00 / $3,863.88 / $4,769.38	Professional		$2,827.00	$3,863.88	$4,769.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,964.33 / $2,919.42 / $3,434.39	Professional		$1,964.33	$2,919.42	$3,434.39
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 $1,875.52 / $3,067.11 / $4,771.06	Professional		$1,875.52	$3,067.11	$4,771.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,542.40 / $4,167.60 / $4,334.30	Professional		$3,542.40	$4,167.60	$4,334.30