Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,692.07 / $1,692.07 / $1,692.07	Facility		$1,692.07	$1,692.07	$1,692.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,523.52 / $1,692.07 / $5,181.72	Professional		$1,523.52	$1,692.07	$5,181.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,910.46 / $3,994.45 / $4,993.06	Professional		$3,910.46	$3,994.45	$4,993.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,574.75 / $4,831.60	Facility		$2,000.00	$2,574.75	$4,831.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,156.92 / $3,594.86 / $13,333.20	Professional		$2,156.92	$3,594.86	$13,333.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,820.97 / $4,430.47 / $5,474.88	Facility		$2,820.97	$4,430.47	$5,474.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,055.00 / $3,910.46 / $4,747.52	Professional		$3,055.00	$3,910.46	$4,747.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,255.33 / $3,002.54 / $3,475.79	Professional		$2,255.33	$3,002.54	$3,475.79
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 $2,156.92 / $3,594.86 / $5,013.18	Professional		$2,156.92	$3,594.86	$5,013.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,448.10 / $4,056.60 / $4,218.89	Professional		$3,448.10	$4,056.60	$4,218.89