Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,078.33 / $1,078.33 / $3,073.00	Facility		$1,078.33	$1,078.33	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.35 / $1,078.33 / $2,762.99	Professional		$872.35	$1,078.33	$2,762.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,193.63 / $2,327.17 / $2,908.96	Professional		$2,193.63	$2,327.17	$2,908.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,075.21 / $1,719.83 / $2,609.15	Facility		$1,075.21	$1,719.83	$2,609.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,169.58 / $1,949.32 / $7,530.48	Professional		$1,169.58	$1,949.32	$7,530.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,666.00 / $2,627.16 / $5,269.25	Facility		$1,666.00	$2,627.16	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,710.00 / $2,228.51 / $2,741.86	Professional		$1,710.00	$2,228.51	$2,741.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,133.93 / $1,683.79 / $1,980.81	Professional		$1,133.93	$1,683.79	$1,980.81
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 $1,169.58 / $1,754.93 / $2,729.89	Professional		$1,169.58	$1,754.93	$2,729.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,887.00 / $2,220.00 / $2,308.69	Professional		$1,887.00	$2,220.00	$2,308.69