Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.11 / $1,065.11 / $3,511.00	Facility		$1,065.11	$1,065.11	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.48 / $1,065.11 / $2,530.71	Professional		$892.48	$1,065.11	$2,530.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,842.78 / $2,398.85 / $2,998.56	Professional		$1,842.78	$2,398.85	$2,998.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,355.75 / $1,779.01 / $2,589.55	Facility		$1,355.75	$1,779.01	$2,589.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $990.44 / $2,017.03 / $7,865.52	Professional		$990.44	$2,017.03	$7,865.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,484.18 / $2,607.44 / $8,250.46	Facility		$1,484.18	$2,607.44	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,484.18 / $2,067.44 / $2,837.77	Professional		$1,484.18	$2,067.44	$2,837.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,220.08 / $1,688.88 / $2,092.71	Professional		$1,220.08	$1,688.88	$2,092.71
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 $1,056.54 / $1,815.05 / $2,823.41	Professional		$1,056.54	$1,815.05	$2,823.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,076.10 / $2,540.10 / $2,540.10	Professional		$2,076.10	$2,540.10	$2,540.10