Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.80 / $1,104.80 / $4,338.00	Facility		$1,104.80	$1,104.80	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $921.80 / $1,104.80 / $2,569.15	Professional		$921.80	$1,104.80	$2,569.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,935.10 / $2,475.19 / $3,094.00	Professional		$1,935.10	$2,475.19	$3,094.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,324.17 / $1,816.55 / $3,178.95	Facility		$1,324.17	$1,816.55	$3,178.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,115.71 / $2,463.86 / $8,097.76	Professional		$1,115.71	$2,463.86	$8,097.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,842.70 / $2,463.86 / $3,373.56	Facility		$1,842.70	$2,463.86	$3,373.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,842.70 / $2,387.90 / $2,897.88	Professional		$1,842.70	$2,387.90	$2,897.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,297.08 / $1,861.64 / $2,122.48	Professional		$1,297.08	$1,861.64	$2,122.48
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 $1,115.71 / $1,913.85 / $3,004.40	Professional		$1,115.71	$1,913.85	$3,004.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,105.60 / $2,576.19 / $2,576.19	Professional		$2,105.60	$2,576.19	$2,576.19