Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,736.84 / $1,736.84 / $1,736.84	Facility		$1,736.84	$1,736.84	$1,736.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,486.41 / $1,736.84 / $5,661.28	Professional		$1,486.41	$1,736.84	$5,661.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,990.04 / $4,015.61 / $4,988.18	Professional		$3,990.04	$4,015.61	$4,988.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,935.26 / $4,931.14	Facility		$2,000.00	$2,935.26	$4,931.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,144.65 / $3,704.16 / $13,585.92	Professional		$2,144.65	$3,704.16	$13,585.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,765.65 / $4,493.38 / $5,949.35	Facility		$2,765.65	$4,493.38	$5,949.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,907.00 / $4,116.00 / $5,203.89	Professional		$2,907.00	$4,116.00	$5,203.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,421.83 / $3,319.90 / $3,797.95	Professional		$2,421.83	$3,319.90	$3,797.95
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 $1,965.93 / $4,952.33 / $4,952.33	Professional		$1,965.93	$4,952.33	$4,952.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,767.70 / $4,432.60 / $4,609.89	Professional		$3,767.70	$4,432.60	$4,609.89