Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,666.16 / $1,666.16 / $1,666.16	Facility		$1,666.16	$1,666.16	$1,666.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,547.84 / $1,666.16 / $1,666.16	Professional		$1,547.84	$1,666.16	$1,666.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,230.81 / $3,425.70 / $4,282.13	Professional		$3,230.81	$3,425.70	$4,282.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,776.63 / $4,518.59	Facility		$2,000.00	$2,776.63	$4,518.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,843.40 / $3,351.64 / $11,870.56	Professional		$1,843.40	$3,351.64	$11,870.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,223.00 / $3,937.86 / $5,162.03	Facility		$3,223.00	$3,937.86	$5,162.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,950.00 / $3,609.14 / $4,470.67	Professional		$2,950.00	$3,609.14	$4,470.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,111.75 / $2,813.74 / $3,207.98	Professional		$2,111.75	$2,813.74	$3,207.98
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 $1,843.40 / $2,857.93 / $4,445.67	Professional		$1,843.40	$2,857.93	$4,445.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,308.90 / $3,892.80 / $4,048.50	Professional		$3,308.90	$3,892.80	$4,048.50