Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.08 / $1,698.08 / $1,698.08	Facility		$1,698.08	$1,698.08	$1,698.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,428.77 / $1,698.08 / $5,004.85	Professional		$1,428.77	$1,698.08	$5,004.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,811.48 / $3,903.29 / $4,879.10	Professional		$3,811.48	$3,903.29	$4,879.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,414.62 / $4,727.18	Facility		$2,000.00	$2,414.62	$4,727.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,116.10 / $3,526.84 / $14,283.70	Professional		$2,116.10	$3,526.84	$14,283.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,737.59 / $4,305.42 / $5,401.87	Facility		$2,737.59	$4,305.42	$5,401.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,890.00 / $3,811.48 / $4,703.08	Professional		$2,890.00	$3,811.48	$4,703.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,188.73 / $2,971.47 / $3,387.82	Professional		$2,188.73	$2,971.47	$3,387.82
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 $2,116.10 / $3,108.46 / $4,835.38	Professional		$2,116.10	$3,108.46	$4,835.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,301.60 / $3,884.30 / $4,039.70	Professional		$3,301.60	$3,884.30	$4,039.70