Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.99 / $1,075.99 / $4,338.00	Facility		$1,075.99	$1,075.99	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.01 / $1,075.99 / $2,604.57	Professional		$906.01	$1,075.99	$2,604.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,872.71 / $2,437.80 / $3,047.25	Professional		$1,872.71	$2,437.80	$3,047.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,414.64 / $1,821.13 / $2,847.33	Facility		$1,414.64	$1,821.13	$2,847.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,068.36 / $2,215.50 / $8,038.24	Professional		$1,068.36	$2,215.50	$8,038.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,633.80 / $2,665.46 / $10,456.49	Facility		$1,633.80	$2,665.46	$10,456.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,633.80 / $2,271.25 / $2,929.75	Professional		$1,633.80	$2,271.25	$2,929.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,347.01 / $1,825.89 / $2,147.71	Professional		$1,347.01	$1,825.89	$2,147.71
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 $1,068.36 / $1,917.31 / $2,982.48	Professional		$1,068.36	$1,917.31	$2,982.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,130.60 / $2,606.90 / $2,606.90	Professional		$2,130.60	$2,606.90	$2,606.90