Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,976.45 / $1,976.45 / $1,976.45	Facility		$1,976.45	$1,976.45	$1,976.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,691.22 / $1,976.45 / $3,381.53	Professional		$1,691.22	$1,976.45	$3,381.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,489.85 / $4,542.93 / $5,678.67	Professional		$3,489.85	$4,542.93	$5,678.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,429.44 / $3,216.54 / $5,585.93	Facility		$2,429.44	$3,216.54	$5,585.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,930.76 / $4,195.21 / $15,444.48	Professional		$1,930.76	$4,195.21	$15,444.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,092.94 / $4,663.22 / $6,757.55	Facility		$3,092.94	$4,663.22	$6,757.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,092.94 / $4,546.13 / $5,849.48	Professional		$3,092.94	$4,546.13	$5,849.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,689.42 / $3,759.70 / $4,315.47	Professional		$2,689.42	$3,759.70	$4,315.47
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 $2,197.48 / $3,995.44 / $5,623.16	Professional		$2,197.48	$3,995.44	$5,623.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,281.10 / $5,238.10 / $5,238.10	Professional		$4,281.10	$5,238.10	$5,238.10