Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.99 / $1,094.99 / $4,338.00	Facility		$1,094.99	$1,094.99	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.57 / $1,094.99 / $2,595.98	Professional		$918.57	$1,094.99	$2,595.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,887.67 / $2,457.28 / $3,071.60	Professional		$1,887.67	$2,457.28	$3,071.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,447.63 / $1,820.25 / $3,172.07	Facility		$1,447.63	$1,820.25	$3,172.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,147.54 / $2,482.55 / $10,299.59	Professional		$1,147.54	$2,482.55	$10,299.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,832.35 / $2,482.55 / $3,374.62	Facility		$1,832.35	$2,482.55	$3,374.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,832.35 / $2,397.57 / $2,887.86	Professional		$1,832.35	$2,397.57	$2,887.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,343.83 / $1,871.29 / $2,133.48	Professional		$1,343.83	$1,871.29	$2,133.48
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 $1,301.75 / $2,192.98 / $2,987.66	Professional		$1,301.75	$2,192.98	$2,987.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,116.50 / $2,589.60 / $2,589.60	Professional		$2,116.50	$2,589.60	$2,589.60