Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,110.15 / $1,110.15 / $4,338.00	Facility		$1,110.15	$1,110.15	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.53 / $1,051.81 / $1,110.15	Professional		$999.53	$1,051.81	$1,110.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,422.78 / $2,666.08 / $3,332.60	Professional		$2,422.78	$2,666.08	$3,332.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,429.33 / $1,876.15 / $3,347.16	Facility		$1,429.33	$1,876.15	$3,347.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,102.68 / $2,533.44 / $8,754.48	Professional		$1,102.68	$2,533.44	$8,754.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,936.00 / $2,764.34 / $5,269.25	Facility		$1,936.00	$2,764.34	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,848.00 / $2,404.46 / $3,195.84	Professional		$1,848.00	$2,404.46	$3,195.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,303.83 / $1,929.34 / $2,330.78	Professional		$1,303.83	$1,929.34	$2,330.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,296.19 / $2,245.94 / $3,304.22	Professional		$1,296.19	$2,245.94	$3,304.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,312.19 / $2,720.30 / $2,829.10	Professional		$2,312.19	$2,720.30	$2,829.10