Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $4,365.16	Facility		$1,096.48	$1,096.48	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,949.84	Professional		$1,000.00	$1,096.48	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,162.28	Professional		$1,819.70	$2,511.89	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,454.71	Facility		$1,318.26	$1,819.70	$2,454.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $8,128.31	Professional		$977.24	$1,548.82	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $2,454.71	Professional		$1,778.28	$2,454.71	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,041.74	Professional		$1,778.28	$1,778.28	$2,041.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $2,187.76	Professional		$1,071.52	$1,621.81	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $2,884.03	Professional		$1,000.00	$1,819.70	$2,884.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $2,630.27	Professional		$2,137.96	$2,511.89	$2,630.27