Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,555.10 / $1,555.10 / $1,555.10	Facility		$1,555.10	$1,555.10	$1,555.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,405.88 / $1,555.10 / $1,700.92	Professional		$1,405.88	$1,555.10	$1,700.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,690.40 / $3,700.73 / $4,625.91	Professional		$2,690.40	$3,700.73	$4,625.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,700.36 / $2,628.12 / $4,519.07	Facility		$1,700.36	$2,628.12	$4,519.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,955.48 / $3,285.94 / $12,510.56	Professional		$1,955.48	$3,285.94	$12,510.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,564.64 / $3,861.29 / $5,418.58	Facility		$2,564.64	$3,861.29	$5,418.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,564.64 / $3,800.54 / $4,657.45	Professional		$2,564.64	$3,800.54	$4,657.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,055.21 / $2,916.09 / $3,378.11	Professional		$2,055.21	$2,916.09	$3,378.11
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 $1,955.48 / $3,008.68 / $4,680.17	Professional		$1,955.48	$3,008.68	$4,680.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,351.20 / $4,100.30 / $4,100.30	Professional		$3,351.20	$4,100.30	$4,100.30