Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,999.92 / $1,999.92 / $1,999.92	Facility		$1,999.92	$1,999.92	$1,999.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,711.17 / $1,999.92 / $5,076.85	Professional		$1,711.17	$1,999.92	$5,076.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,428.81 / $4,463.46 / $5,579.33	Professional		$3,428.81	$4,463.46	$5,579.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,458.10 / $3,249.79 / $5,515.91	Facility		$2,458.10	$3,249.79	$5,515.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,954.38 / $4,108.29 / $15,628.72	Professional		$1,954.38	$4,108.29	$15,628.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,036.61 / $4,711.03 / $6,838.92	Facility		$3,036.61	$4,711.03	$6,838.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,036.61 / $4,527.67 / $5,922.35	Professional		$3,036.61	$4,527.67	$5,922.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,606.67 / $3,672.78 / $4,223.68	Professional		$2,606.67	$3,672.78	$4,223.68
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 $1,954.38 / $3,658.34 / $5,690.75	Professional		$1,954.38	$3,658.34	$5,690.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,154.00 / $5,082.60 / $5,082.60	Professional		$4,154.00	$5,082.60	$5,082.60