Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.97 / $1,004.97 / $3,511.00	Facility		$1,004.97	$1,004.97	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $846.10 / $1,004.97 / $2,424.52	Professional		$846.10	$1,004.97	$2,424.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,751.81 / $2,280.42 / $2,850.53	Professional		$1,751.81	$2,280.42	$2,850.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.00 / $1,726.53 / $2,623.29	Facility		$1,318.00	$1,726.53	$2,623.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,073.70 / $2,049.79 / $7,486.96	Professional		$1,073.70	$2,049.79	$7,486.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,508.77 / $2,482.41 / $3,711.03	Facility		$1,508.77	$2,482.41	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,508.77 / $2,179.07 / $2,720.30	Professional		$1,508.77	$2,179.07	$2,720.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,244.27 / $1,701.39 / $2,001.51	Professional		$1,244.27	$1,701.39	$2,001.51
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 $1,073.70 / $1,952.18 / $2,766.18	Professional		$1,073.70	$1,952.18	$2,766.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,985.60 / $2,429.40 / $2,429.40	Professional		$1,985.60	$2,429.40	$2,429.40