Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,548.13 / $4,365.16	Facility		$1,000.00	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,905.46	Professional		$977.24	$1,096.48	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,454.71 / $3,090.30	Professional		$2,187.76	$2,454.71	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $3,019.95	Facility		$1,288.25	$1,659.59	$3,019.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,905.46 / $8,912.51	Professional		$977.24	$1,905.46	$8,912.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $2,454.71	Professional		$2,089.30	$2,454.71	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $2,089.30	Professional		$1,230.27	$1,737.80	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,905.46 / $2,884.03	Professional		$1,023.29	$1,905.46	$2,884.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,570.40	Professional		$2,089.30	$2,089.30	$2,570.40