Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,365.16 / $6,918.31	Facility		$1,000.00	$4,365.16	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,905.46	Professional		$912.01	$1,000.00	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $2,884.03	Professional		$1,737.80	$2,290.87	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,630.27	Facility		$1,202.26	$1,659.59	$2,630.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,698.24 / $8,511.38	Professional		$912.01	$1,698.24	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,290.87 / $2,290.87	Professional		$2,041.74	$2,290.87	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,238.72	Professional		$2,041.74	$2,041.74	$2,238.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $1,949.84	Professional		$1,122.02	$1,659.59	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $2,818.38	Professional		$1,096.48	$1,819.70	$2,818.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $2,398.83	Professional		$1,949.84	$2,290.87	$2,398.83