Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.66 / $1,047.66 / $4,338.00	Facility		$1,047.66	$1,047.66	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.04 / $1,047.66 / $2,535.94	Professional		$882.04	$1,047.66	$2,535.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,824.23 / $2,374.69 / $2,968.37	Professional		$1,824.23	$2,374.69	$2,968.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,376.98 / $1,741.28 / $2,767.79	Facility		$1,376.98	$1,741.28	$2,767.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $993.24 / $2,164.01 / $7,823.44	Professional		$993.24	$2,164.01	$7,823.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,595.23 / $2,594.17 / $22,940.94	Facility		$1,595.23	$2,594.17	$22,940.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,595.23 / $2,209.88 / $2,852.34	Professional		$1,595.23	$2,209.88	$2,852.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,311.42 / $1,777.83 / $2,091.42	Professional		$1,311.42	$1,777.83	$2,091.42
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 $1,133.53 / $1,865.61 / $2,902.06	Professional		$1,133.53	$1,865.61	$2,902.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,074.80 / $2,538.60 / $2,538.60	Professional		$2,074.80	$2,538.60	$2,538.60