Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.84 / $1,778.84 / $1,778.84	Facility		$1,778.84	$1,778.84	$1,778.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,521.03 / $1,778.84 / $5,776.99	Professional		$1,521.03	$1,778.84	$5,776.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,806.99 / $4,082.48 / $5,103.10	Professional		$3,806.99	$4,082.48	$5,103.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,988.70 / $2,570.54 / $5,030.54	Facility		$1,988.70	$2,570.54	$5,030.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.41 / $3,790.30 / $13,902.00	Professional		$2,187.41	$3,790.30	$13,902.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,821.31 / $4,376.78 / $6,094.33	Facility		$2,821.31	$4,376.78	$6,094.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,863.00 / $3,806.99 / $5,328.80	Professional		$2,863.00	$3,806.99	$5,328.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,501.40 / $3,387.21 / $3,884.63	Professional		$2,501.40	$3,387.21	$3,884.63
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 $2,187.41 / $3,256.78 / $5,066.10	Professional		$2,187.41	$3,256.78	$5,066.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,853.70 / $4,533.80 / $4,715.10	Professional		$3,853.70	$4,533.80	$4,715.10