Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,732.73 / $1,732.73 / $1,732.73	Facility		$1,732.73	$1,732.73	$1,732.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,482.85 / $1,732.73 / $4,569.77	Professional		$1,482.85	$1,732.73	$4,569.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,063.12 / $3,987.43 / $4,984.29	Professional		$3,063.12	$3,987.43	$4,984.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,130.11 / $2,928.31 / $4,869.96	Facility		$2,130.11	$2,928.31	$4,869.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,765.88 / $3,692.45 / $13,522.32	Professional		$1,765.88	$3,692.45	$13,522.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,719.22 / $4,078.75 / $5,905.56	Facility		$2,719.22	$4,078.75	$5,905.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,719.22 / $3,964.61 / $5,110.89	Professional		$2,719.22	$3,964.61	$5,110.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,349.84 / $3,275.81 / $3,775.96	Professional		$2,349.84	$3,275.81	$3,775.96
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 $1,934.14 / $3,521.93 / $4,913.68	Professional		$1,934.14	$3,521.93	$4,913.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,745.90 / $4,583.20 / $4,583.20	Professional		$3,745.90	$4,583.20	$4,583.20