Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.43 / $1,919.43 / $1,919.43	Facility		$1,919.43	$1,919.43	$1,919.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,783.67 / $1,919.43 / $1,919.43	Professional		$1,783.67	$1,919.43	$1,919.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,720.17 / $3,944.58 / $4,930.72	Professional		$3,720.17	$3,944.58	$4,930.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,037.75 / $5,396.00	Facility		$2,000.00	$3,037.75	$5,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,133.81 / $3,879.66 / $13,687.76	Professional		$2,133.81	$3,879.66	$13,687.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,693.00 / $4,540.68 / $5,953.54	Facility		$3,693.00	$4,540.68	$5,953.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,381.00 / $4,160.81 / $5,155.53	Professional		$3,381.00	$4,160.81	$5,155.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,428.32 / $3,243.83 / $3,698.33	Professional		$2,428.32	$3,243.83	$3,698.33
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 $2,327.80 / $3,294.31 / $5,124.47	Professional		$2,327.80	$3,294.31	$5,124.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,814.70 / $4,487.80 / $4,667.39	Professional		$3,814.70	$4,487.80	$4,667.39