Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,080.00 / $4,080.00 / $4,080.00	Facility		$4,080.00	$4,080.00	$4,080.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $4,080.00	Professional		$3,468.00	$3,468.00	$4,080.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Professional		$3,468.00	$3,468.00	$3,468.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,080.00 / $5,723.02 / $6,895.20	Facility		$4,080.00	$5,723.02	$6,895.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $15,504.00	Professional		$3,400.00	$3,400.00	$15,504.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,910.64 / $2,547.52 / $3,069.76	Facility		$1,910.64	$2,547.52	$3,069.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,362.77 / $3,362.77 / $3,362.77	Professional		$3,362.77	$3,362.77	$3,362.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,856.00 / $2,856.00 / $2,856.00	Professional		$2,856.00	$2,856.00	$2,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $3,876.00	Professional		$3,400.00	$3,400.00	$3,876.00
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