Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,005.18 / $1,005.18 / $3,511.00	Facility		$1,005.18	$1,005.18	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.53 / $1,005.18 / $1,111.40	Professional		$904.53	$1,005.18	$1,111.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,193.38 / $2,413.65 / $3,017.06	Professional		$2,193.38	$2,413.65	$3,017.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,293.48 / $1,671.08 / $3,033.97	Facility		$1,293.48	$1,671.08	$3,033.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $998.47 / $2,157.21 / $9,006.77	Professional		$998.47	$2,157.21	$9,006.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,778.00 / $2,629.84 / $5,269.25	Facility		$1,778.00	$2,629.84	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,676.00 / $2,376.98 / $2,896.79	Professional		$1,676.00	$2,376.98	$2,896.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,210.80 / $1,664.70 / $2,112.78	Professional		$1,210.80	$1,664.70	$2,112.78
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 $1,053.13 / $1,914.78 / $3,000.23	Professional		$1,053.13	$1,914.78	$3,000.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,096.00 / $2,465.80 / $2,564.50	Professional		$2,096.00	$2,465.80	$2,564.50