Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,025.00 / $2,025.00 / $2,025.00	Facility		$2,025.00	$2,025.00	$2,025.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,732.24 / $2,025.00 / $6,614.09	Professional		$1,732.24	$2,025.00	$6,614.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,648.29 / $4,675.74 / $5,811.11	Professional		$4,648.29	$4,675.74	$5,811.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,266.46 / $3,094.02 / $5,764.44	Facility		$2,266.46	$3,094.02	$5,764.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,506.16 / $4,330.42 / $16,202.05	Professional		$2,506.16	$4,330.42	$16,202.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,232.27 / $5,238.39 / $6,943.18	Facility		$3,232.27	$5,238.39	$6,943.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,255.00 / $4,792.63 / $6,069.81	Professional		$2,255.00	$4,792.63	$6,069.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,805.43 / $3,881.54 / $4,426.74	Professional		$2,805.43	$3,881.54	$4,426.74
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 $2,506.16 / $3,719.48 / $5,785.86	Professional		$2,506.16	$3,719.48	$5,785.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,391.50 / $5,166.50 / $5,373.10	Professional		$4,391.50	$5,166.50	$5,373.10