Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,293.80 / $1,293.80 / $1,293.80	Facility		$1,293.80	$1,293.80	$1,293.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,205.32 / $1,293.80 / $1,293.80	Professional		$1,205.32	$1,293.80	$1,293.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,481.96 / $2,685.56 / $3,356.95	Professional		$2,481.96	$2,685.56	$3,356.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,300.09 / $2,036.99 / $3,180.87	Facility		$1,300.09	$2,036.99	$3,180.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,134.59 / $2,166.05 / $9,106.16	Professional		$1,134.59	$2,166.05	$9,106.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,570.00 / $2,853.46 / $4,514.33	Facility		$1,570.00	$2,853.46	$4,514.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,438.00 / $2,481.96 / $3,479.28	Professional		$1,438.00	$2,481.96	$3,479.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,312.79 / $2,160.56 / $2,541.67	Professional		$1,312.79	$2,160.56	$2,541.67
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $10,811.40	Facility		$5,357.00	$5,357.00	$10,811.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,237.74 / $2,129.65 / $3,312.79	Professional		$1,237.74	$2,129.65	$3,312.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,621.60 / $3,084.30 / $3,207.60	Professional		$2,621.60	$3,084.30	$3,207.60