Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,046.05 / $1,046.05 / $1,046.05	Facility		$1,046.05	$1,046.05	$1,046.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.19 / $1,046.05 / $2,530.48	Professional		$881.19	$1,046.05	$2,530.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,823.03 / $2,373.14 / $2,966.42	Professional		$1,823.03	$2,373.14	$2,966.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,373.99 / $1,750.95 / $2,760.07	Facility		$1,373.99	$1,750.95	$2,760.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,015.84 / $2,153.26 / $7,810.16	Professional		$1,015.84	$2,153.26	$7,810.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,586.45 / $2,589.69 / $15,588.16	Facility		$1,586.45	$2,589.69	$15,588.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,586.45 / $2,115.90 / $2,844.14	Professional		$1,586.45	$2,115.90	$2,844.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,307.65 / $1,774.53 / $2,087.55	Professional		$1,307.65	$1,774.53	$2,087.55
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 $1,127.90 / $1,896.92 / $2,894.50	Professional		$1,127.90	$1,896.92	$2,894.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,070.90 / $2,533.80 / $2,533.80	Professional		$2,070.90	$2,533.80	$2,533.80