Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,984.74 / $1,984.74 / $3,511.00	Facility		$1,984.74	$1,984.74	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,792.50 / $1,984.74 / $2,181.14	Professional		$1,792.50	$1,984.74	$2,181.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,434.08 / $4,723.68 / $5,904.60	Professional		$3,434.08	$4,723.68	$5,904.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,147.98 / $3,354.21 / $5,452.23	Facility		$2,147.98	$3,354.21	$5,452.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,368.64 / $4,099.70 / $17,183.28	Professional		$2,368.64	$4,099.70	$17,183.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,252.60 / $4,988.58 / $6,919.20	Facility		$3,252.60	$4,988.58	$6,919.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,252.60 / $4,847.85 / $5,941.30	Professional		$3,252.60	$4,847.85	$5,941.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,480.81 / $3,410.80 / $4,309.00	Professional		$2,480.81	$3,410.80	$4,309.00
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 $2,368.64 / $3,858.55 / $6,002.19	Professional		$2,368.64	$3,858.55	$6,002.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,274.70 / $5,230.20 / $5,230.20	Professional		$4,274.70	$5,230.20	$5,230.20