Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,149.06 / $1,149.06 / $1,149.06	Facility		$1,149.06	$1,149.06	$1,149.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $965.74 / $1,149.06 / $2,791.80	Professional		$965.74	$1,149.06	$2,791.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,998.39 / $2,601.41 / $3,251.77	Professional		$1,998.39	$2,601.41	$3,251.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,514.11 / $1,941.91 / $3,083.21	Facility		$1,514.11	$1,941.91	$3,083.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,143.17 / $2,395.94 / $8,589.84	Professional		$1,143.17	$2,395.94	$8,589.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,769.43 / $2,642.51 / $3,604.03	Facility		$1,769.43	$2,642.51	$3,604.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,769.43 / $2,451.92 / $3,146.51	Professional		$1,769.43	$2,451.92	$3,146.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,446.67 / $1,973.26 / $2,299.73	Professional		$1,446.67	$1,973.26	$2,299.73
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 $1,143.17 / $2,063.44 / $3,209.81	Professional		$1,143.17	$2,063.44	$3,209.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,281.40 / $2,791.40 / $2,791.40	Professional		$2,281.40	$2,791.40	$2,791.40