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 $977.24 / $1,148.15 / $2,089.30	Professional		$977.24	$1,148.15	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $3,019.95	Professional		$1,737.80	$2,398.83	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,479.11 / $2,884.03	Facility		$891.25	$1,479.11	$2,884.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,659.59 / $7,943.28	Professional		$977.24	$1,659.59	$7,943.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,454.71 / $2,630.27	Professional		$2,398.83	$2,454.71	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $2,137.96	Professional		$1,202.26	$1,778.28	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $2,818.38	Professional		$1,047.13	$1,737.80	$2,818.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $2,630.27	Professional		$2,137.96	$2,630.27	$2,630.27