Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,092.08 / $1,092.08 / $1,092.08	Facility		$1,092.08	$1,092.08	$1,092.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.00 / $1,092.08 / $2,626.72	Professional		$919.00	$1,092.08	$2,626.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,801.15 / $2,477.54 / $3,096.92	Professional		$1,801.15	$2,477.54	$3,096.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,320.14 / $1,771.16 / $2,219.79	Facility		$1,320.14	$1,771.16	$2,219.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $998.46 / $1,926.70 / $8,121.36	Professional		$998.46	$1,926.70	$8,121.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,413.34 / $2,444.53 / $3,403.82	Facility		$1,413.34	$2,444.53	$3,403.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,413.34 / $2,061.29 / $2,949.80	Professional		$1,413.34	$2,061.29	$2,949.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,119.29 / $1,617.63 / $2,169.69	Professional		$1,119.29	$1,617.63	$2,169.69
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 $967.22 / $1,679.23 / $2,997.09	Professional		$967.22	$1,679.23	$2,997.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,152.40 / $2,633.60 / $2,633.60	Professional		$2,152.40	$2,633.60	$2,633.60