Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,735.00 / $3,825.00 / $4,500.00	Professional		$3,735.00	$3,825.00	$4,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,817.25 / $1,817.25 / $2,271.56	Professional		$1,817.25	$1,817.25	$2,271.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $5,791.50 / $11,097.00	Facility		$4,500.00	$5,791.50	$11,097.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $4,275.00	Professional		$3,750.00	$3,750.00	$4,275.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $492.08 / $643.45 / $6,219.51	Facility		$492.08	$643.45	$6,219.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $492.08 / $651.95 / $1,076.47	Professional		$492.08	$651.95	$1,076.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,445.13 / $3,825.00 / $3,825.00	Professional		$1,445.13	$3,825.00	$3,825.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $4,125.00	Professional		$3,750.00	$3,750.00	$4,125.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $3,750.00	Facility		$3,750.00	$3,750.00	$3,750.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $3,750.00	Professional		$3,750.00	$3,750.00	$3,750.00