Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,880.00 / $1,880.00 / $1,880.00	Facility		$1,880.00	$1,880.00	$1,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,880.00 / $3,000.00	Professional		$1,200.00	$1,880.00	$3,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,987.30 / $3,987.30 / $3,987.30	Facility		$3,987.30	$3,987.30	$3,987.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,872.93 / $3,632.83 / $4,541.04	Professional		$2,872.93	$3,632.83	$4,541.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,887.60 / $2,264.60 / $3,671.60	Facility		$1,887.60	$2,264.60	$3,671.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,200.00 / $3,667.20	Professional		$1,020.00	$1,200.00	$3,667.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,580.86 / $3,667.20 / $4,444.55	Facility		$2,580.86	$3,667.20	$4,444.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,400.00 / $3,667.20 / $4,383.17	Professional		$2,400.00	$3,667.20	$4,383.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,860.00 / $4,818.60 / $5,494.40	Professional		$2,860.00	$4,818.60	$5,494.40
United Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $1,020.00 / $2,000.00	Professional		$840.00	$1,020.00	$2,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Professional		$2,000.00	$2,000.00	$2,000.00