Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,923.61 / $1,923.61 / $1,923.61	Facility		$1,923.61	$1,923.61	$1,923.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,645.49 / $1,923.61 / $6,265.34	Professional		$1,645.49	$1,923.61	$6,265.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,417.71 / $4,439.24 / $5,522.85	Professional		$4,417.71	$4,439.24	$5,522.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,150.79 / $3,250.90 / $5,460.09	Facility		$2,150.79	$3,250.90	$5,460.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,357.69 / $4,102.10 / $15,034.64	Professional		$2,357.69	$4,102.10	$15,034.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,041.37 / $4,972.58 / $6,584.46	Facility		$3,041.37	$4,972.58	$6,584.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,189.00 / $4,550.22 / $5,759.95	Professional		$3,189.00	$4,550.22	$5,759.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,668.33 / $3,674.99 / $4,201.62	Professional		$2,668.33	$3,674.99	$4,201.62
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 $2,357.69 / $3,526.88 / $5,486.26	Professional		$2,357.69	$3,526.88	$5,486.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,168.20 / $4,903.70 / $5,099.89	Professional		$4,168.20	$4,903.70	$5,099.89