Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,158.32 / $1,158.32 / $1,158.32	Facility		$1,158.32	$1,158.32	$1,158.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.90 / $1,158.32 / $2,683.85	Professional		$975.90	$1,158.32	$2,683.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,027.72 / $2,639.59 / $3,299.49	Professional		$2,027.72	$2,639.59	$3,299.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,527.41 / $1,951.80 / $2,884.65	Facility		$1,527.41	$1,951.80	$2,884.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,085.47 / $2,228.73 / $8,573.52	Professional		$1,085.47	$2,228.73	$8,573.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,652.98 / $2,709.08 / $3,711.03	Facility		$1,652.98	$2,709.08	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,652.98 / $2,387.92 / $3,009.68	Professional		$1,652.98	$2,387.92	$3,009.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,315.25 / $1,818.66 / $2,207.21	Professional		$1,315.25	$1,818.66	$2,207.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.93 / $2,110.12 / $3,282.41	Professional		$1,012.93	$2,110.12	$3,282.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,189.69 / $2,679.10 / $2,679.10	Professional		$2,189.69	$2,679.10	$2,679.10