Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.30 / $1,146.30 / $1,146.30	Facility		$1,146.30	$1,146.30	$1,146.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $965.47 / $1,146.30 / $2,785.32	Professional		$965.47	$1,146.30	$2,785.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,994.80 / $2,596.73 / $3,245.93	Professional		$1,994.80	$2,596.73	$3,245.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,510.29 / $1,974.09 / $2,645.39	Facility		$1,510.29	$1,974.09	$2,645.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,094.57 / $2,089.63 / $8,583.92	Professional		$1,094.57	$2,089.63	$8,583.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,555.36 / $2,648.14 / $3,610.29	Facility		$1,555.36	$2,648.14	$3,610.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,555.36 / $2,310.44 / $3,136.49	Professional		$1,555.36	$2,310.44	$3,136.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,202.03 / $1,939.95 / $2,294.55	Professional		$1,202.03	$1,939.95	$2,294.55
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 $1,094.57 / $1,990.12 / $3,193.54	Professional		$1,094.57	$1,990.12	$3,193.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,276.30 / $2,785.10 / $2,785.10	Professional		$2,276.30	$2,785.10	$2,785.10