Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,074.25 / $1,074.25 / $4,338.00	Facility		$1,074.25	$1,074.25	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.83 / $1,074.25 / $2,607.71	Professional		$865.83	$1,074.25	$2,607.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,072.32 / $2,280.42 / $2,850.53	Professional		$2,072.32	$2,280.42	$2,850.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,069.93 / $1,700.17 / $2,513.01	Facility		$1,069.93	$1,700.17	$2,513.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,043.24 / $1,825.68 / $7,476.88	Professional		$1,043.24	$1,825.68	$7,476.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,607.00 / $2,479.39 / $5,269.25	Facility		$1,607.00	$2,479.39	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,365.00 / $2,057.73 / $2,732.25	Professional		$1,365.00	$2,057.73	$2,732.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,110.60 / $1,570.26 / $1,942.64	Professional		$1,110.60	$1,570.26	$1,942.64
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 $1,043.24 / $1,796.18 / $2,692.51	Professional		$1,043.24	$1,796.18	$2,692.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,850.60 / $2,177.19 / $2,264.30	Professional		$1,850.60	$2,177.19	$2,264.30