Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $1,749.00 / $1,749.00	Facility		$1,749.00	$1,749.00	$1,749.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,614.86 / $1,749.00 / $1,749.00	Professional		$1,614.86	$1,749.00	$1,749.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,393.19 / $3,597.88 / $4,497.35	Professional		$3,393.19	$3,597.88	$4,497.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,729.11 / $4,604.45	Facility		$2,000.00	$2,729.11	$4,604.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,775.43 / $3,348.30 / $12,257.84	Professional		$1,775.43	$3,348.30	$12,257.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,137.00 / $4,048.56 / $5,300.72	Facility		$3,137.00	$4,048.56	$5,300.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,830.00 / $3,705.93 / $4,605.45	Professional		$2,830.00	$3,705.93	$4,605.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,910.97 / $2,889.20 / $3,294.01	Professional		$1,910.97	$2,889.20	$3,294.01
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 $1,775.43 / $2,966.31 / $4,614.26	Professional		$1,775.43	$2,966.31	$4,614.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,397.60 / $3,997.20 / $4,157.10	Professional		$3,397.60	$3,997.20	$4,157.10