Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,193.81 / $1,193.81 / $4,338.00	Facility		$1,193.81	$1,193.81	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.97 / $1,043.85 / $1,796.97	Professional		$948.97	$1,043.85	$1,796.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,315.19 / $2,532.08 / $3,165.09	Professional		$2,315.19	$2,532.08	$3,165.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,076.01 / $1,624.83 / $2,772.51	Facility		$1,076.01	$1,624.83	$2,772.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,209.22 / $2,025.68 / $9,474.04	Professional		$1,209.22	$2,025.68	$9,474.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,587.00 / $2,765.26 / $5,269.25	Facility		$1,587.00	$2,765.26	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,229.00 / $2,373.07 / $3,018.09	Professional		$1,229.00	$2,373.07	$3,018.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,209.58 / $1,746.18 / $2,142.53	Professional		$1,209.58	$1,746.18	$2,142.53
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $11,831.32	Facility		$4,500.00	$4,500.00	$11,831.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,108.45 / $1,910.16 / $2,971.36	Professional		$1,108.45	$1,910.16	$2,971.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,041.00 / $2,401.19 / $2,497.19	Professional		$2,041.00	$2,401.19	$2,497.19