Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,029.35 / $1,029.35 / $4,338.00	Facility		$1,029.35	$1,029.35	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.78 / $1,029.35 / $2,394.35	Professional		$858.78	$1,029.35	$2,394.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,785.33 / $2,324.06 / $2,905.07	Professional		$1,785.33	$2,324.06	$2,905.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,352.34 / $1,717.56 / $2,712.95	Facility		$1,352.34	$1,717.56	$2,712.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $981.62 / $2,137.21 / $11,315.02	Professional		$981.62	$2,137.21	$11,315.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,573.15 / $2,508.05 / $6,855.77	Facility		$1,573.15	$2,508.05	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,573.15 / $2,107.64 / $2,700.25	Professional		$1,573.15	$2,107.64	$2,700.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,241.50 / $1,724.35 / $1,973.05	Professional		$1,241.50	$1,724.35	$1,973.05
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 $1,119.49 / $2,013.90 / $2,865.74	Professional		$1,119.49	$2,013.90	$2,865.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,957.30 / $2,394.90 / $2,394.90	Professional		$1,957.30	$2,394.90	$2,394.90