Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,558.17 / $1,558.17 / $1,558.17	Facility		$1,558.17	$1,558.17	$1,558.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,333.77 / $1,558.17 / $4,111.77	Professional		$1,333.77	$1,558.17	$4,111.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,755.49 / $3,586.98 / $4,483.72	Professional		$2,755.49	$3,586.98	$4,483.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,558.73 / $4,386.79	Facility		$2,000.00	$2,558.73	$4,386.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,536.93 / $2,934.14 / $12,163.12	Professional		$1,536.93	$2,934.14	$12,163.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,181.28 / $3,566.07 / $5,310.10	Facility		$2,181.28	$3,566.07	$5,310.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,181.28 / $3,320.35 / $4,598.17	Professional		$2,181.28	$3,320.35	$4,598.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,761.85 / $2,950.90 / $3,397.52	Professional		$1,761.85	$2,950.90	$3,397.52
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 $1,536.93 / $2,794.42 / $4,421.12	Professional		$1,536.93	$2,794.42	$4,421.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,370.50 / $4,123.89 / $4,123.89	Professional		$3,370.50	$4,123.89	$4,123.89