Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,675.96 / $1,675.96 / $1,675.96	Facility		$1,675.96	$1,675.96	$1,675.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,512.37 / $1,675.96 / $2,410.38	Professional		$1,512.37	$1,675.96	$2,410.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,907.33 / $3,999.12 / $4,998.89	Professional		$2,907.33	$3,999.12	$4,998.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,765.24 / $2,832.37 / $4,981.83	Facility		$1,765.24	$2,832.37	$4,981.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,155.76 / $3,602.01 / $13,382.32	Professional		$2,155.76	$3,602.01	$13,382.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,852.30 / $4,267.99 / $5,685.54	Facility		$2,852.30	$4,267.99	$5,685.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,788.00 / $3,933.74 / $4,888.02	Professional		$2,788.00	$3,933.74	$4,888.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,264.08 / $3,066.80 / $3,496.49	Professional		$2,264.08	$3,066.80	$3,496.49
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 $2,004.51 / $3,276.40 / $5,096.62	Professional		$2,004.51	$3,276.40	$5,096.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,468.70 / $4,244.00 / $4,244.00	Professional		$3,468.70	$4,244.00	$4,244.00