Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.36 / $1,096.36 / $1,096.36	Facility		$1,096.36	$1,096.36	$1,096.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.00 / $1,096.36 / $1,768.74	Professional		$924.00	$1,096.36	$1,768.74
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 $1,410.15 / $1,807.34 / $2,865.91	Facility		$1,410.15	$1,807.34	$2,865.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,042.90 / $2,239.63 / $8,172.08	Professional		$1,042.90	$2,239.63	$8,172.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,026.42 / $2,922.39 / $15,588.16	Facility		$2,026.42	$2,922.39	$15,588.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,647.56 / $2,286.58 / $2,965.27	Professional		$1,647.56	$2,286.58	$2,965.27
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 $1,173.14 / $1,939.82 / $3,017.50	Professional		$1,173.14	$1,939.82	$3,017.50
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