Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.77 / $1,102.77 / $4,338.00	Facility		$1,102.77	$1,102.77	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $928.51 / $1,102.77 / $2,180.82	Professional		$928.51	$1,102.77	$2,180.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,919.39 / $2,498.57 / $3,123.22	Professional		$1,919.39	$2,498.57	$3,123.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,450.26 / $1,863.68 / $2,927.54	Facility		$1,450.26	$1,863.68	$2,927.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,087.85 / $2,267.96 / $8,240.32	Professional		$1,087.85	$2,267.96	$8,240.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,673.14 / $2,732.50 / $8,250.46	Facility		$1,673.14	$2,732.50	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,673.14 / $2,329.69 / $3,007.16	Professional		$1,673.14	$2,329.69	$3,007.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,377.26 / $1,877.53 / $2,201.40	Professional		$1,377.26	$1,877.53	$2,201.40
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 $1,187.98 / $2,206.71 / $3,060.06	Professional		$1,187.98	$2,206.71	$3,060.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,183.90 / $2,672.00 / $2,672.00	Professional		$2,183.90	$2,672.00	$2,672.00