Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,264.23 / $1,264.23 / $4,338.00	Facility		$1,264.23	$1,264.23	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.06 / $1,264.23 / $3,030.22	Professional		$1,059.06	$1,264.23	$3,030.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,192.90 / $2,854.62 / $3,568.28	Professional		$2,192.90	$2,854.62	$3,568.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,593.61 / $2,088.23 / $3,055.71	Facility		$1,593.61	$2,088.23	$3,055.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,180.73 / $2,329.28 / $9,657.29	Professional		$1,180.73	$2,329.28	$9,657.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,728.65 / $2,895.13 / $3,939.82	Facility		$1,728.65	$2,895.13	$3,939.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,728.65 / $2,443.96 / $3,416.99	Professional		$1,728.65	$2,443.96	$3,416.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,432.62 / $1,969.68 / $2,497.67	Professional		$1,432.62	$1,969.68	$2,497.67
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 $1,220.09 / $2,271.67 / $3,533.71	Professional		$1,220.09	$2,271.67	$3,533.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,477.80 / $3,031.70 / $3,031.70	Professional		$2,477.80	$3,031.70	$3,031.70