Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.47 / $1,075.47 / $4,338.00	Facility		$1,075.47	$1,075.47	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.79 / $1,075.47 / $2,735.15	Professional		$913.79	$1,075.47	$2,735.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.49 / $2,444.04 / $3,055.05	Professional		$1,877.49	$2,444.04	$3,055.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,312.66 / $1,658.34 / $2,600.61	Facility		$1,312.66	$1,658.34	$2,600.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,017.88 / $2,014.59 / $8,158.32	Professional		$1,017.88	$2,014.59	$8,158.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,483.77 / $2,410.06 / $3,519.56	Facility		$1,483.77	$2,410.06	$3,519.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,483.77 / $2,075.46 / $3,033.58	Professional		$1,483.77	$2,075.46	$3,033.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,166.38 / $1,695.96 / $2,266.73	Professional		$1,166.38	$1,695.96	$2,266.73
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,008.10 / $1,884.35 / $2,931.21	Professional		$1,008.10	$1,884.35	$2,931.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,248.69 / $2,751.30 / $2,751.30	Professional		$2,248.69	$2,751.30	$2,751.30