Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,718.41 / $1,718.41 / $1,718.41	Facility		$1,718.41	$1,718.41	$1,718.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,470.56 / $1,718.41 / $5,600.01	Professional		$1,470.56	$1,718.41	$5,600.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,948.75 / $3,988.75 / $4,936.57	Professional		$3,948.75	$3,988.75	$4,936.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,904.11 / $4,876.46	Facility		$2,000.00	$2,904.11	$4,876.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,121.60 / $3,664.11 / $13,439.44	Professional		$2,121.60	$3,664.11	$13,439.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,735.76 / $4,444.95 / $5,882.64	Facility		$2,735.76	$4,444.95	$5,882.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,913.00 / $4,088.48 / $5,147.45	Professional		$2,913.00	$4,088.48	$5,147.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,421.83 / $3,282.77 / $3,757.20	Professional		$2,421.83	$3,282.77	$3,757.20
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 $2,121.60 / $3,712.80 / $4,899.35	Professional		$2,121.60	$3,712.80	$4,899.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,727.30 / $4,385.00 / $4,560.39	Professional		$3,727.30	$4,385.00	$4,560.39