Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,994.07 / $1,994.07 / $1,994.07	Facility		$1,994.07	$1,994.07	$1,994.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,816.27 / $1,994.07 / $2,235.76	Professional		$1,816.27	$1,994.07	$2,235.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,475.43 / $4,780.56 / $5,975.70	Professional		$3,475.43	$4,780.56	$5,975.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,105.94 / $3,369.98 / $5,784.50	Facility		$2,105.94	$3,369.98	$5,784.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,505.85 / $4,277.85 / $16,131.12	Professional		$2,505.85	$4,277.85	$16,131.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,341.12 / $5,007.22 / $6,851.42	Facility		$3,341.12	$5,007.22	$6,851.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,250.00 / $4,831.83 / $5,874.05	Professional		$3,250.00	$4,831.83	$5,874.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,424.16 / $3,690.65 / $4,294.77	Professional		$2,424.16	$3,690.65	$4,294.77
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 $2,352.82 / $3,860.68 / $6,005.50	Professional		$2,352.82	$3,860.68	$6,005.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,260.60 / $5,212.89 / $5,212.89	Professional		$4,260.60	$5,212.89	$5,212.89