Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.68 / $1,031.68 / $1,376.32	Facility		$1,031.68	$1,031.68	$1,376.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.15 / $1,161.36 / $3,273.77	Professional		$868.15	$1,161.36	$3,273.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,154.44 / $2,963.50 / $3,989.97	Professional		$2,154.44	$2,963.50	$3,989.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,467.17 / $2,135.73 / $3,488.94	Facility		$1,467.17	$2,135.73	$3,488.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,631.00 / $3,426.53 / $10,200.08	Professional		$1,631.00	$3,426.53	$10,200.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,440.48 / $2,715.50 / $3,555.17	Facility		$1,440.48	$2,715.50	$3,555.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,280.86 / $2,747.87 / $3,555.17	Professional		$2,280.86	$2,747.87	$3,555.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,517.32 / $2,035.15 / $2,700.16	Professional		$1,517.32	$2,035.15	$2,700.16
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 $1,461.08 / $2,558.41 / $3,979.75	Professional		$1,461.08	$2,558.41	$3,979.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,018.90 / $2,470.19 / $3,277.40	Professional		$2,018.90	$2,470.19	$3,277.40