Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.35 / $1,162.35 / $4,338.00	Facility		$1,162.35	$1,162.35	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.44 / $1,162.35 / $2,826.45	Professional		$977.44	$1,162.35	$2,826.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,015.75 / $2,624.01 / $3,280.01	Professional		$2,015.75	$2,624.01	$3,280.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,534.45 / $1,964.39 / $3,130.65	Facility		$1,534.45	$1,964.39	$3,130.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,206.83 / $2,431.42 / $9,637.49	Professional		$1,206.83	$2,431.42	$9,637.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,798.18 / $2,696.08 / $3,678.07	Facility		$1,798.18	$2,696.08	$3,678.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,798.18 / $2,571.44 / $3,192.24	Professional		$1,798.18	$2,571.44	$3,192.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,471.79 / $2,006.33 / $2,326.25	Professional		$1,471.79	$2,006.33	$2,326.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,273.59 / $2,141.96 / $3,256.82	Professional		$1,273.59	$2,141.96	$3,256.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,307.69 / $2,823.60 / $2,823.60	Professional		$2,307.69	$2,823.60	$2,823.60