Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,830.00 / $4,830.00 / $4,830.00	Facility		$4,830.00	$4,830.00	$4,830.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,105.50 / $4,830.00 / $4,830.00	Professional		$4,105.50	$4,830.00	$4,830.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,032.00 / $4,032.00 / $5,040.00	Facility		$4,032.00	$4,032.00	$5,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,024.00 / $3,639.96 / $3,780.00	Professional		$3,024.00	$3,639.96	$3,780.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,968.00 / $6,693.41 / $8,162.70	Facility		$2,968.00	$6,693.41	$8,162.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $16,905.00	Professional		$4,200.00	$4,200.00	$16,905.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,730.96 / $4,081.65 / $4,576.66	Facility		$3,730.96	$4,081.65	$4,576.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,564.54 / $3,730.96 / $4,081.65	Professional		$3,564.54	$3,730.96	$4,081.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,737.00 / $2,737.00 / $2,737.00	Professional		$2,737.00	$2,737.00	$2,737.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $4,620.00	Professional		$4,200.00	$4,200.00	$4,620.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $2,800.00 / $2,800.00	Facility		$2,800.00	$2,800.00	$2,800.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,800.00 / $2,800.00 / $2,800.00	Professional		$2,800.00	$2,800.00	$2,800.00