Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,107.33 / $1,107.33 / $1,107.33	Facility		$1,107.33	$1,107.33	$1,107.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.38 / $1,107.33 / $2,684.27	Professional		$933.38	$1,107.33	$2,684.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,931.36 / $2,514.16 / $3,142.69	Professional		$1,931.36	$2,514.16	$3,142.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,396.12 / $1,829.02 / $2,945.92	Facility		$1,396.12	$1,829.02	$2,945.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,041.31 / $2,245.15 / $8,279.36	Professional		$1,041.31	$2,245.15	$8,279.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,656.64 / $2,546.17 / $3,472.65	Facility		$1,656.64	$2,546.17	$3,472.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,656.64 / $2,348.67 / $3,018.10	Professional		$1,656.64	$2,348.67	$3,018.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,367.36 / $1,889.13 / $2,213.69	Professional		$1,367.36	$1,889.13	$2,213.69
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 $1,041.31 / $1,977.10 / $3,075.49	Professional		$1,041.31	$1,977.10	$3,075.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,196.10 / $2,687.00 / $2,687.00	Professional		$2,196.10	$2,687.00	$2,687.00