Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.64 / $1,104.64 / $4,338.00	Facility		$1,104.64	$1,104.64	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.92 / $1,104.64 / $2,676.42	Professional		$930.92	$1,104.64	$2,676.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,925.97 / $2,507.14 / $3,133.93	Professional		$1,925.97	$2,507.14	$3,133.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,388.27 / $1,833.82 / $2,936.36	Facility		$1,388.27	$1,833.82	$2,936.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,037.70 / $2,471.91 / $8,557.67	Professional		$1,037.70	$2,471.91	$8,557.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,811.58 / $2,516.28 / $3,463.24	Facility		$1,811.58	$2,516.28	$3,463.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,810.00 / $2,159.55 / $3,008.99	Professional		$1,810.00	$2,159.55	$3,008.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,364.87 / $1,882.75 / $2,207.21	Professional		$1,364.87	$1,882.75	$2,207.21
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 $1,019.42 / $1,971.41 / $3,066.64	Professional		$1,019.42	$1,971.41	$3,066.64
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