Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.14 / $1,079.14 / $3,073.00	Facility		$1,079.14	$1,079.14	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.19 / $1,079.14 / $1,893.28	Professional		$960.19	$1,079.14	$1,893.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,967.87 / $2,561.67 / $3,202.10	Professional		$1,967.87	$2,561.67	$3,202.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,379.31 / $1,781.05 / $3,065.79	Facility		$1,379.31	$1,781.05	$3,065.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,069.00 / $2,305.80 / $8,612.71	Professional		$1,069.00	$2,305.80	$8,612.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,694.52 / $2,658.11 / $3,737.52	Facility		$1,694.52	$2,658.11	$3,737.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,694.52 / $2,425.89 / $3,151.22	Professional		$1,694.52	$2,425.89	$3,151.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,267.83 / $2,057.96 / $2,399.35	Professional		$1,267.83	$2,057.96	$2,399.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,067.76 / $2,000.99 / $3,112.65	Professional		$1,067.76	$2,000.99	$3,112.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,380.30 / $2,912.30 / $2,912.30	Professional		$2,380.30	$2,912.30	$2,912.30