Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.65 / $1,006.65 / $3,073.00	Facility		$1,006.65	$1,006.65	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.40 / $1,026.67 / $1,584.48	Professional		$839.40	$1,026.67	$1,584.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,741.64 / $2,267.17 / $2,833.98	Professional		$1,741.64	$2,267.17	$2,833.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,322.26 / $1,659.60 / $2,955.67	Facility		$1,322.26	$1,659.60	$2,955.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,028.97 / $2,331.25 / $9,057.00	Professional		$1,028.97	$2,331.25	$9,057.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,707.30 / $2,504.13 / $6,855.77	Facility		$1,707.30	$2,504.13	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,707.30 / $2,170.42 / $2,661.12	Professional		$1,707.30	$2,170.42	$2,661.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,194.64 / $1,689.72 / $1,926.47	Professional		$1,194.64	$1,689.72	$1,926.47
United 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
United Facility/Professional Professional Modifier Low / Median / High Price $1,211.18 / $2,053.71 / $2,955.57	Professional		$1,211.18	$2,053.71	$2,955.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,911.10 / $2,338.30 / $2,338.30	Professional		$1,911.10	$2,338.30	$2,338.30