Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,074.17 / $1,074.17 / $1,074.17	Facility		$1,074.17	$1,074.17	$1,074.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.97 / $1,074.17 / $1,704.38	Professional		$906.97	$1,074.17	$1,704.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,777.36 / $2,444.82 / $3,056.02	Professional		$1,777.36	$2,444.82	$3,056.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,408.84 / $1,791.26 / $2,731.31	Facility		$1,408.84	$1,791.26	$2,731.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,263.84 / $2,722.13 / $8,035.36	Professional		$1,263.84	$2,722.13	$8,035.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,574.95 / $2,380.78 / $3,356.87	Facility		$1,574.95	$2,380.78	$3,356.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,574.95 / $2,096.96 / $2,410.81	Professional		$1,574.95	$2,096.96	$2,410.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,232.63 / $1,232.63 / $1,232.63	Professional		$1,232.63	$1,232.63	$1,232.63
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,263.84 / $2,198.30 / $4,109.39	Professional		$1,263.84	$2,198.30	$4,109.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,580.60 / $1,933.90 / $1,933.90	Professional		$1,580.60	$1,933.90	$1,933.90