Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,888.90 / $1,888.90 / $1,888.90	Facility		$1,888.90	$1,888.90	$1,888.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,699.87 / $1,888.90 / $5,767.86	Professional		$1,699.87	$1,888.90	$5,767.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,373.35 / $4,462.68 / $5,578.36	Professional		$4,373.35	$4,462.68	$5,578.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,036.54 / $2,872.78 / $5,199.43	Facility		$2,036.54	$2,872.78	$5,199.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,219.41 / $3,883.97 / $20,776.70	Professional		$2,219.41	$3,883.97	$20,776.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,875.47 / $4,915.13 / $6,327.91	Facility		$2,875.47	$4,915.13	$6,327.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,230.00 / $4,482.68 / $5,474.12	Professional		$2,230.00	$4,482.68	$5,474.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,211.17 / $3,412.13 / $4,014.01	Professional		$2,211.17	$3,412.13	$4,014.01
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 $2,219.41 / $3,497.76 / $5,440.96	Professional		$2,219.41	$3,497.76	$5,440.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,982.10 / $4,684.80 / $4,872.20	Professional		$3,982.10	$4,684.80	$4,872.20