Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,532.00 / $1,532.00 / $1,532.00	Facility		$1,532.00	$1,532.00	$1,532.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,310.78 / $1,532.00 / $4,011.82	Professional		$1,310.78	$1,532.00	$4,011.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,712.40 / $3,530.88 / $4,413.60	Professional		$2,712.40	$3,530.88	$4,413.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,432.44 / $3,872.17	Facility		$2,000.00	$2,432.44	$3,872.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,474.67 / $3,011.40 / $11,909.60	Professional		$1,474.67	$3,011.40	$11,909.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,226.09 / $3,565.07 / $5,182.89	Facility		$2,226.09	$3,565.07	$5,182.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,226.09 / $3,166.56 / $4,475.24	Professional		$2,226.09	$3,166.56	$4,475.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,820.84 / $2,543.65 / $3,318.60	Professional		$1,820.84	$2,543.65	$3,318.60
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 $1,577.40 / $3,011.40 / $4,300.32	Professional		$1,577.40	$3,011.40	$4,300.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,292.20 / $4,028.10 / $4,028.10	Professional		$3,292.20	$4,028.10	$4,028.10