Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.75 / $1,095.75 / $1,095.75	Facility		$1,095.75	$1,095.75	$1,095.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $922.72 / $1,095.75 / $2,653.50	Professional		$922.72	$1,095.75	$2,653.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,907.42 / $2,482.98 / $3,103.74	Professional		$1,907.42	$2,482.98	$3,103.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,440.95 / $1,810.40 / $2,902.35	Facility		$1,440.95	$1,810.40	$2,902.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,072.33 / $2,257.33 / $8,741.03	Professional		$1,072.33	$2,257.33	$8,741.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,664.83 / $2,511.69 / $3,441.36	Facility		$1,664.83	$2,511.69	$3,441.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,664.83 / $2,315.06 / $2,988.03	Professional		$1,664.83	$2,315.06	$2,988.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,373.81 / $1,860.70 / $2,187.82	Professional		$1,373.81	$1,860.70	$2,187.82
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 $1,182.41 / $1,988.60 / $3,039.37	Professional		$1,182.41	$1,988.60	$3,039.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,170.40 / $2,655.50 / $2,655.50	Professional		$2,170.40	$2,655.50	$2,655.50