Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,012.15 / $1,012.15 / $1,012.15	Facility		$1,012.15	$1,012.15	$1,012.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.59 / $1,012.15 / $1,012.15	Professional		$940.59	$1,012.15	$1,012.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,966.26 / $2,084.87 / $2,606.09	Professional		$1,966.26	$2,084.87	$2,606.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,252.83 / $1,710.53 / $3,131.29	Facility		$1,252.83	$1,710.53	$3,131.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,261.70 / $2,294.00 / $7,196.00	Professional		$1,261.70	$2,294.00	$7,196.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,983.00 / $2,386.98 / $3,122.24	Facility		$1,983.00	$2,386.98	$3,122.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,814.00 / $2,188.48 / $2,702.08	Professional		$1,814.00	$2,188.48	$2,702.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,273.61 / $1,706.17 / $2,020.26	Professional		$1,273.61	$1,706.17	$2,020.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,261.70 / $1,729.21 / $2,689.88	Professional		$1,261.70	$1,729.21	$2,689.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,006.40 / $2,360.50 / $2,454.90	Professional		$2,006.40	$2,360.50	$2,454.90