Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,796.74 / $1,796.74 / $1,796.74	Facility		$1,796.74	$1,796.74	$1,796.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,626.58 / $1,796.74 / $1,935.59	Professional		$1,626.58	$1,796.74	$1,935.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,132.19 / $4,308.42 / $5,385.53	Professional		$3,132.19	$4,308.42	$5,385.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,892.52 / $2,892.62 / $5,098.60	Facility		$1,892.52	$2,892.62	$5,098.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,042.33 / $3,596.28 / $14,396.16	Professional		$2,042.33	$3,596.28	$14,396.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,805.45 / $4,403.49 / $6,193.38	Facility		$2,805.45	$4,403.49	$6,193.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,595.00 / $4,160.97 / $5,339.61	Professional		$2,595.00	$4,160.97	$5,339.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,063.10 / $3,290.31 / $3,895.63	Professional		$2,063.10	$3,290.31	$3,895.63
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 $1,866.99 / $3,631.88 / $5,331.34	Professional		$1,866.99	$3,631.88	$5,331.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,864.60 / $4,728.50 / $4,728.50	Professional		$3,864.60	$4,728.50	$4,728.50