Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,655.00 / $3,655.00 / $3,655.00	Facility		$3,655.00	$3,655.00	$3,655.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,033.65 / $3,655.00 / $3,655.00	Professional		$3,033.65	$3,655.00	$3,655.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,805.00 / $2,805.00 / $3,506.25	Professional		$2,805.00	$2,805.00	$3,506.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,655.00 / $4,703.99 / $9,013.23	Facility		$3,655.00	$4,703.99	$9,013.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $3,350.41	Professional		$3,045.83	$3,045.83	$3,350.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,759.85 / $4,759.85 / $5,553.15	Facility		$4,759.85	$4,759.85	$5,553.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,402.80 / $3,402.80 / $3,402.80	Professional		$3,402.80	$3,402.80	$3,402.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,106.75 / $3,106.75 / $3,106.75	Professional		$3,106.75	$3,106.75	$3,106.75
United Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $3,350.41	Professional		$3,045.83	$3,045.83	$3,350.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $3,045.83	Facility		$3,045.83	$3,045.83	$3,045.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $3,045.83	Professional		$3,045.83	$3,045.83	$3,045.83