Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,026.55 / $1,026.55 / $4,338.00	Facility		$1,026.55	$1,026.55	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.73 / $1,026.55 / $2,412.05	Professional		$856.73	$1,026.55	$2,412.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.14 / $2,314.71 / $2,893.38	Professional		$1,778.14	$2,314.71	$2,893.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,359.42 / $1,690.19 / $2,668.04	Facility		$1,359.42	$1,690.19	$2,668.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $970.08 / $2,087.17 / $13,778.46	Professional		$970.08	$2,087.17	$13,778.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,897.36 / $2,689.94 / $6,855.77	Facility		$1,897.36	$2,689.94	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,549.40 / $2,150.50 / $2,722.65	Professional		$1,549.40	$2,150.50	$2,722.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,242.97 / $1,683.24 / $1,980.16	Professional		$1,242.97	$1,683.24	$1,980.16
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 $1,093.28 / $2,017.88 / $2,920.40	Professional		$1,093.28	$2,017.88	$2,920.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,964.40 / $2,403.50 / $2,403.50	Professional		$1,964.40	$2,403.50	$2,403.50