Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,741.90 / $1,741.90 / $1,741.90	Facility		$1,741.90	$1,741.90	$1,741.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,618.46 / $1,741.90 / $1,741.90	Professional		$1,618.46	$1,741.90	$1,741.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,377.76 / $3,581.52 / $4,476.89	Professional		$3,377.76	$3,581.52	$4,476.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,712.39 / $2,735.20 / $4,892.64	Facility		$1,712.39	$2,735.20	$4,892.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,070.06 / $3,450.10 / $12,414.72	Professional		$2,070.06	$3,450.10	$12,414.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,457.00 / $4,118.35 / $5,398.74	Facility		$3,457.00	$4,118.35	$5,398.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,718.44 / $3,773.63 / $5,075.83	Professional		$2,718.44	$3,773.63	$5,075.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,199.54 / $2,941.97 / $3,354.18	Professional		$2,199.54	$2,941.97	$3,354.18
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 $2,100.51 / $3,450.10 / $4,651.16	Professional		$2,100.51	$3,450.10	$4,651.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,459.70 / $4,070.20 / $4,233.00	Professional		$3,459.70	$4,070.20	$4,233.00