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 $912.01 / $1,000.00 / $1,318.26	Professional		$912.01	$1,000.00	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,290.87 / $2,884.03	Professional		$2,238.72	$2,290.87	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,691.53	Facility		$1,202.26	$1,621.81	$2,691.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,778.28 / $12,022.64	Professional		$933.25	$1,778.28	$12,022.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,238.72 / $2,238.72	Professional		$2,041.74	$2,238.72	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $1,995.26	Professional		$1,122.02	$1,698.24	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $2,691.53	Professional		$1,071.52	$1,905.46	$2,691.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $2,398.83	Professional		$1,949.84	$2,290.87	$2,398.83