Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,887.80 / $1,887.80 / $1,887.80	Facility		$1,887.80	$1,887.80	$1,887.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,710.12 / $1,887.80 / $2,075.01	Professional		$1,710.12	$1,887.80	$2,075.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,272.66 / $4,501.64 / $5,627.05	Professional		$3,272.66	$4,501.64	$5,627.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,890.10 / $5,545.49	Facility		$2,000.00	$2,890.10	$5,545.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,221.13 / $4,038.42 / $15,268.40	Professional		$2,221.13	$4,038.42	$15,268.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,157.79 / $4,746.29 / $6,607.40	Facility		$3,157.79	$4,746.29	$6,607.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,436.00 / $4,647.71 / $5,683.09	Professional		$2,436.00	$4,647.71	$5,683.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,474.10 / $3,577.51 / $4,131.10	Professional		$2,474.10	$3,577.51	$4,131.10
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 $2,221.13 / $4,443.79 / $5,704.58	Professional		$2,221.13	$4,443.79	$5,704.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,098.20 / $5,014.30 / $5,014.30	Professional		$4,098.20	$5,014.30	$5,014.30