Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,035.13 / $1,035.13 / $4,338.00	Facility		$1,035.13	$1,035.13	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.98 / $1,035.13 / $2,428.38	Professional		$873.98	$1,035.13	$2,428.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,799.09 / $2,341.96 / $2,927.47	Professional		$1,799.09	$2,341.96	$2,927.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,334.23 / $1,665.21 / $2,468.73	Facility		$1,334.23	$1,665.21	$2,468.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $963.66 / $1,945.82 / $7,630.72	Professional		$963.66	$1,945.82	$7,630.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,419.85 / $2,528.50 / $8,250.46	Facility		$1,419.85	$2,528.50	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,419.85 / $1,978.55 / $2,733.95	Professional		$1,419.85	$1,978.55	$2,733.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,082.58 / $1,613.38 / $2,016.39	Professional		$1,082.58	$1,613.38	$2,016.39
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 $1,107.74 / $2,078.48 / $2,717.12	Professional		$1,107.74	$2,078.48	$2,717.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,000.30 / $2,447.50 / $2,447.50	Professional		$2,000.30	$2,447.50	$2,447.50