Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.24 / $1,925.24 / $1,925.24	Facility		$1,925.24	$1,925.24	$1,925.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,739.69 / $1,925.24 / $2,113.86	Professional		$1,739.69	$1,925.24	$2,113.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,329.87 / $4,580.33 / $5,725.41	Professional		$3,329.87	$4,580.33	$5,725.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,030.26 / $3,022.32 / $5,604.09	Facility		$2,030.26	$3,022.32	$5,604.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,256.42 / $4,102.58 / $15,461.84	Professional		$2,256.42	$4,102.58	$15,461.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,196.81 / $4,833.51 / $6,700.21	Facility		$3,196.81	$4,833.51	$6,700.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,848.00 / $4,693.57 / $5,755.15	Professional		$2,848.00	$4,693.57	$5,755.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,331.44 / $3,616.39 / $4,171.85	Professional		$2,331.44	$3,616.39	$4,171.85
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 $2,256.42 / $3,971.82 / $5,818.32	Professional		$2,256.42	$3,971.82	$5,818.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,138.60 / $5,063.80 / $5,063.80	Professional		$4,138.60	$5,063.80	$5,063.80