Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,840.00 / $3,840.00 / $3,840.00	Facility		$3,840.00	$3,840.00	$3,840.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,187.19 / $3,264.00 / $3,840.00	Professional		$3,187.19	$3,264.00	$3,840.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Professional		$3,264.00	$3,264.00	$3,264.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,840.00 / $5,386.37 / $6,489.60	Facility		$3,840.00	$5,386.37	$6,489.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $15,048.00	Professional		$3,200.00	$3,200.00	$15,048.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,493.03 / $5,990.70 / $7,218.79	Facility		$4,493.03	$5,990.70	$7,218.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,963.27 / $3,963.27 / $3,963.27	Professional		$3,963.27	$3,963.27	$3,963.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,366.00 / $3,366.00 / $3,366.00	Professional		$3,366.00	$3,366.00	$3,366.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,520.00	Professional		$3,200.00	$3,200.00	$3,520.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,300.00 / $3,300.00 / $3,300.00	Professional		$3,300.00	$3,300.00	$3,300.00