Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.02 / $1,166.02 / $1,166.02	Facility		$1,166.02	$1,166.02	$1,166.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.82 / $1,166.02 / $2,851.30	Professional		$940.82	$1,166.02	$2,851.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,307.03 / $2,479.88 / $3,099.84	Professional		$2,307.03	$2,479.88	$3,099.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,062.61 / $1,799.09 / $2,728.91	Facility		$1,062.61	$1,799.09	$2,728.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,219.59 / $2,032.66 / $8,127.20	Professional		$1,219.59	$2,032.66	$8,127.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,727.00 / $2,767.17 / $5,269.25	Facility		$1,727.00	$2,767.17	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,362.00 / $2,364.71 / $2,965.24	Professional		$1,362.00	$2,364.71	$2,965.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,178.50 / $1,782.85 / $2,113.42	Professional		$1,178.50	$1,782.85	$2,113.42
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 $1,574.61 / $2,930.14 / $2,961.22	Professional		$1,574.61	$2,930.14	$2,961.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,013.30 / $2,368.60 / $2,463.30	Professional		$2,013.30	$2,368.60	$2,463.30