Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,716.32 / $1,716.32 / $1,716.32	Facility		$1,716.32	$1,716.32	$1,716.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,468.59 / $1,716.32 / $5,559.43	Professional		$1,468.59	$1,716.32	$5,559.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,946.41 / $3,959.22 / $4,933.64	Professional		$3,946.41	$3,959.22	$4,933.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,481.92 / $4,844.01	Facility		$2,000.00	$2,481.92	$4,844.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,106.19 / $3,640.74 / $13,402.96	Professional		$2,106.19	$3,640.74	$13,402.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,714.46 / $4,432.89 / $5,858.65	Facility		$2,714.46	$4,432.89	$5,858.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,736.00 / $4,058.20 / $5,127.03	Professional		$2,736.00	$4,058.20	$5,127.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,158.62 / $3,258.98 / $3,743.61	Professional		$2,158.62	$3,258.98	$3,743.61
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 $2,106.19 / $3,698.99 / $4,878.05	Professional		$2,106.19	$3,698.99	$4,878.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,713.80 / $4,369.20 / $4,544.00	Professional		$3,713.80	$4,369.20	$4,544.00