Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,708.06 / $1,708.06 / $1,708.06	Facility		$1,708.06	$1,708.06	$1,708.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,535.17 / $1,708.06 / $5,240.03	Professional		$1,535.17	$1,708.06	$5,240.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,939.57 / $4,023.27 / $5,029.09	Professional		$3,939.57	$4,023.27	$5,029.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,820.53 / $4,881.56	Facility		$2,000.00	$2,820.53	$4,881.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,168.35 / $3,613.92 / $24,885.00	Professional		$2,168.35	$3,613.92	$24,885.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,837.49 / $4,465.72 / $5,538.51	Facility		$2,837.49	$4,465.72	$5,538.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,947.00 / $3,939.57 / $4,796.76	Professional		$2,947.00	$3,939.57	$4,796.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,281.69 / $3,035.03 / $3,501.67	Professional		$2,281.69	$3,035.03	$3,501.67
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 $2,168.35 / $3,613.92 / $5,067.80	Professional		$2,168.35	$3,613.92	$5,067.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,473.80 / $4,086.80 / $4,250.30	Professional		$3,473.80	$4,086.80	$4,250.30