Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.74 / $1,700.74 / $1,700.74	Facility		$1,700.74	$1,700.74	$1,700.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,525.24 / $1,649.80 / $1,814.79	Professional		$1,525.24	$1,649.80	$1,814.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,908.85 / $3,909.52 / $4,886.89	Professional		$3,908.85	$3,909.52	$4,886.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,874.25 / $4,788.14	Facility		$2,000.00	$2,874.25	$4,788.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,059.73 / $3,602.67 / $15,830.79	Professional		$2,059.73	$3,602.67	$15,830.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,656.61 / $4,391.66 / $5,804.41	Facility		$2,656.61	$4,391.66	$5,804.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,746.00 / $4,006.57 / $5,080.20	Professional		$2,746.00	$4,006.57	$5,080.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,352.89 / $3,221.85 / $3,706.74	Professional		$2,352.89	$3,221.85	$3,706.74
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 $2,303.51 / $3,452.86 / $4,827.47	Professional		$2,303.51	$3,452.86	$4,827.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,677.20 / $4,326.10 / $4,499.20	Professional		$3,677.20	$4,326.10	$4,499.20