Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $4,365.16	Facility		$1,000.00	$1,000.00	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,202.26	Professional		$870.96	$1,122.02	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,630.27	Professional		$2,137.96	$2,137.96	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $2,570.40	Facility		$1,348.96	$1,698.24	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,737.80 / $10,471.29	Professional		$912.01	$1,737.80	$10,471.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,398.83	Professional		$2,187.76	$2,187.76	$2,398.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $1,949.84	Professional		$1,348.96	$1,819.70	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,995.26 / $2,691.53	Professional		$1,148.15	$1,995.26	$2,691.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $2,454.71	Professional		$1,995.26	$2,344.23	$2,454.71