Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,680.10 / $1,680.10 / $1,680.10	Facility		$1,680.10	$1,680.10	$1,680.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,561.28 / $1,680.10 / $1,680.10	Professional		$1,561.28	$1,680.10	$1,680.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,257.99 / $3,454.53 / $4,318.16	Professional		$3,257.99	$3,454.53	$4,318.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,819.40 / $4,557.38	Facility		$2,000.00	$2,819.40	$4,557.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,853.02 / $3,306.91 / $12,689.00	Professional		$1,853.02	$3,306.91	$12,689.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,273.00 / $3,972.27 / $5,206.87	Facility		$3,273.00	$3,972.27	$5,206.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,996.00 / $3,640.43 / $4,509.85	Professional		$2,996.00	$3,640.43	$4,509.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,100.50 / $2,838.13 / $3,235.79	Professional		$2,100.50	$2,838.13	$3,235.79
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 $1,853.02 / $3,253.00 / $4,483.28	Professional		$1,853.02	$3,253.00	$4,483.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,337.60 / $3,926.60 / $4,083.60	Professional		$3,337.60	$3,926.60	$4,083.60