Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,106.57 / $1,106.57 / $1,106.57	Facility		$1,106.57	$1,106.57	$1,106.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.78 / $1,106.57 / $2,680.63	Professional		$931.78	$1,106.57	$2,680.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,925.37 / $2,506.36 / $3,132.96	Professional		$1,925.37	$2,506.36	$3,132.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,455.71 / $1,900.99 / $2,935.45	Facility		$1,455.71	$1,900.99	$2,935.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,180.19 / $2,253.09 / $8,271.92	Professional		$1,180.19	$2,253.09	$8,271.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,664.11 / $2,821.40 / $4,896.06	Facility		$1,664.11	$2,821.40	$4,896.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,664.11 / $2,353.00 / $3,019.93	Professional		$1,664.11	$2,353.00	$3,019.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,354.44 / $1,882.17 / $2,209.81	Professional		$1,354.44	$1,882.17	$2,209.81
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 $996.06 / $1,975.45 / $3,072.92	Professional		$996.06	$1,975.45	$3,072.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,192.19 / $2,682.20 / $2,682.20	Professional		$2,192.19	$2,682.20	$2,682.20