Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.06 / $1,088.06 / $4,338.00	Facility		$1,088.06	$1,088.06	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.00 / $1,088.06 / $1,831.81	Professional		$924.00	$1,088.06	$1,831.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,914.60 / $2,492.34 / $3,115.43	Professional		$1,914.60	$2,492.34	$3,115.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,416.98 / $1,793.99 / $2,865.91	Facility		$1,416.98	$1,793.99	$2,865.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,046.08 / $2,226.55 / $8,172.08	Professional		$1,046.08	$2,226.55	$8,172.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,026.42 / $2,895.46 / $10,818.81	Facility		$2,026.42	$2,895.46	$10,818.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,638.44 / $2,278.69 / $2,937.95	Professional		$1,638.44	$2,278.69	$2,937.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,271.99 / $1,857.56 / $2,185.23	Professional		$1,271.99	$1,857.56	$2,185.23
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 $1,166.29 / $1,934.64 / $3,009.44	Professional		$1,166.29	$1,934.64	$3,009.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,167.80 / $2,652.40 / $2,652.40	Professional		$2,167.80	$2,652.40	$2,652.40