Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,115.75 / $1,115.75 / $3,511.00	Facility		$1,115.75	$1,115.75	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.86 / $1,115.75 / $3,029.84	Professional		$907.86	$1,115.75	$3,029.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,341.33 / $2,392.62 / $2,990.77	Professional		$2,341.33	$2,392.62	$2,990.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,298.24 / $1,885.62 / $2,864.23	Facility		$1,298.24	$1,885.62	$2,864.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,269.65 / $2,116.08 / $7,977.04	Professional		$1,269.65	$2,116.08	$7,977.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,647.64 / $2,648.13 / $3,327.67	Facility		$1,647.64	$2,648.13	$3,327.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,810.00 / $2,341.33 / $2,893.18	Professional		$1,810.00	$2,341.33	$2,893.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,332.43 / $1,806.16 / $2,081.08	Professional		$1,332.43	$1,806.16	$2,081.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,269.65 / $1,897.67 / $2,951.93	Professional		$1,269.65	$1,897.67	$2,951.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,982.50 / $2,332.30 / $2,425.60	Professional		$1,982.50	$2,332.30	$2,425.60