Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.67 / $1,063.67 / $2,290.00	Facility		$1,063.67	$1,063.67	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.87 / $1,063.67 / $3,340.75	Professional		$954.87	$1,063.67	$3,340.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,429.82 / $2,493.90 / $3,117.37	Professional		$2,429.82	$2,493.90	$3,117.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,365.46 / $1,643.00 / $2,773.40	Facility		$1,365.46	$1,643.00	$2,773.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,228.93 / $2,150.63 / $8,389.36	Professional		$1,228.93	$2,150.63	$8,389.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,605.71 / $2,780.95 / $3,614.47	Facility		$1,605.71	$2,780.95	$3,614.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,848.00 / $2,429.82 / $3,115.37	Professional		$1,848.00	$2,429.82	$3,115.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,346.90 / $1,816.37 / $2,269.33	Professional		$1,346.90	$1,816.37	$2,269.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,228.93 / $2,048.21 / $3,117.97	Professional		$1,228.93	$2,048.21	$3,117.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,251.30 / $2,648.50 / $2,754.50	Professional		$2,251.30	$2,648.50	$2,754.50