Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,883.53 / $1,883.53 / $1,883.53	Facility		$1,883.53	$1,883.53	$1,883.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,610.89 / $1,883.53 / $4,979.57	Professional		$1,610.89	$1,883.53	$4,979.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,323.47 / $4,326.34 / $5,407.93	Professional		$3,323.47	$4,326.34	$5,407.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,314.04 / $3,183.17 / $5,323.16	Facility		$2,314.04	$3,183.17	$5,323.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,925.04 / $4,045.65 / $14,715.60	Professional		$1,925.04	$4,045.65	$14,715.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,981.24 / $4,445.84 / $6,444.71	Facility		$2,981.24	$4,445.84	$6,444.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,981.24 / $4,334.27 / $5,578.09	Professional		$2,981.24	$4,334.27	$5,578.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,564.64 / $3,583.32 / $4,112.34	Professional		$2,564.64	$3,583.32	$4,112.34
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 $2,119.15 / $3,821.12 / $5,359.00	Professional		$2,119.15	$3,821.12	$5,359.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,079.60 / $4,991.50 / $4,991.50	Professional		$4,079.60	$4,991.50	$4,991.50