Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,027.42 / $1,027.42 / $1,027.42	Facility		$1,027.42	$1,027.42	$1,027.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.51 / $1,027.42 / $1,059.35	Professional		$953.51	$1,027.42	$1,059.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,007.41 / $2,128.50 / $2,660.63	Professional		$2,007.41	$2,128.50	$2,660.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,256.33 / $1,667.98 / $2,631.20	Facility		$1,256.33	$1,667.98	$2,631.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,051.02 / $1,936.88 / $11,892.55	Professional		$1,051.02	$1,936.88	$11,892.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,714.00 / $2,241.13 / $3,084.70	Facility		$1,714.00	$2,241.13	$3,084.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,679.00 / $2,183.40 / $2,680.21	Professional		$1,679.00	$2,183.40	$2,680.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,253.29 / $1,697.09 / $1,940.70	Professional		$1,253.29	$1,697.09	$1,940.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $889.92 / $1,910.94 / $2,684.98	Professional		$889.92	$1,910.94	$2,684.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,001.70 / $2,355.00 / $2,449.19	Professional		$2,001.70	$2,355.00	$2,449.19