Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.99 / $1,166.99 / $4,338.00	Facility		$1,166.99	$1,166.99	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $982.89 / $1,166.99 / $2,827.07	Professional		$982.89	$1,166.99	$2,827.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,031.91 / $2,645.04 / $3,306.31	Professional		$2,031.91	$2,645.04	$3,306.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,534.86 / $1,981.40 / $3,097.04	Facility		$1,534.86	$1,981.40	$3,097.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,146.34 / $2,397.51 / $8,723.60	Professional		$1,146.34	$2,397.51	$8,723.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,768.94 / $2,675.44 / $3,664.52	Facility		$1,768.94	$2,675.44	$3,664.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,768.94 / $2,460.46 / $3,182.01	Professional		$1,768.94	$2,460.46	$3,182.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,456.51 / $1,986.02 / $2,330.78	Professional		$1,456.51	$1,986.02	$2,330.78
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 $1,146.34 / $2,082.80 / $3,239.91	Professional		$1,146.34	$2,082.80	$3,239.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,312.19 / $2,829.10 / $2,829.10	Professional		$2,312.19	$2,829.10	$2,829.10