Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,189.86 / $1,189.86 / $1,189.86	Facility		$1,189.86	$1,189.86	$1,189.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $962.95 / $1,189.86 / $2,997.86	Professional		$962.95	$1,189.86	$2,997.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,411.15 / $2,541.42 / $3,176.78	Professional		$2,411.15	$2,541.42	$3,176.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,242.83 / $1,865.84 / $2,827.25	Facility		$1,242.83	$1,865.84	$2,827.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,271.68 / $2,119.46 / $8,358.56	Professional		$1,271.68	$2,119.46	$8,358.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,809.00 / $2,907.50 / $7,249.64	Facility		$1,809.00	$2,907.50	$7,249.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,569.00 / $2,451.21 / $3,043.31	Professional		$1,569.00	$2,451.21	$3,043.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,332.91 / $1,852.06 / $2,178.76	Professional		$1,332.91	$1,852.06	$2,178.76
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 $1,463.51 / $2,244.87 / $3,032.40	Professional		$1,463.51	$2,244.87	$3,032.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,075.50 / $2,441.80 / $2,539.50	Professional		$2,075.50	$2,441.80	$2,539.50