Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,781.22 / $1,781.22 / $1,781.22	Facility		$1,781.22	$1,781.22	$1,781.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,604.30 / $1,781.22 / $5,451.28	Professional		$1,604.30	$1,781.22	$5,451.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,116.42 / $4,205.58 / $5,256.98	Professional		$4,116.42	$4,205.58	$5,256.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,813.77 / $5,081.33	Facility		$2,000.00	$2,813.77	$5,081.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,279.67 / $3,799.46 / $24,470.00	Professional		$2,279.67	$3,799.46	$24,470.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,979.78 / $4,663.75 / $5,764.79	Facility		$2,979.78	$4,663.75	$5,764.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,030.00 / $4,116.42 / $4,994.92	Professional		$3,030.00	$4,116.42	$4,994.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,368.63 / $3,158.61 / $3,658.87	Professional		$2,368.63	$3,158.61	$3,658.87
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 $2,279.67 / $3,714.72 / $5,275.54	Professional		$2,279.67	$3,714.72	$5,275.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,629.70 / $4,270.30 / $4,441.10	Professional		$3,629.70	$4,270.30	$4,441.10