Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,005.16 / $3,511.00	Facility		$1,005.16	$1,005.16	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.35 / $1,005.16 / $1,089.46	Professional		$908.35	$1,005.16	$1,089.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.48 / $2,405.08 / $3,006.35	Professional		$1,748.48	$2,405.08	$3,006.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,104.73 / $1,766.80 / $2,791.12	Facility		$1,104.73	$1,766.80	$2,791.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,132.61 / $2,044.02 / $8,085.69	Professional		$1,132.61	$2,044.02	$8,085.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,596.48 / $2,480.34 / $3,471.60	Facility		$1,596.48	$2,480.34	$3,471.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,596.48 / $2,447.57 / $2,986.86	Professional		$1,596.48	$2,447.57	$2,986.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,297.03 / $1,783.27 / $2,175.52	Professional		$1,297.03	$1,783.27	$2,175.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,190.48 / $2,049.02 / $3,001.29	Professional		$1,190.48	$2,049.02	$3,001.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,158.19 / $2,640.60 / $2,640.60	Professional		$2,158.19	$2,640.60	$2,640.60