Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.30 / $1,612.11 / $1,612.11	Facility		$657.30	$1,612.11	$1,612.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.03 / $1,416.72 / $2,638.06	Professional		$744.03	$1,416.72	$2,638.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,558.98 / $2,159.83 / $4,529.49	Professional		$1,558.98	$2,159.83	$4,529.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $852.07 / $1,843.12 / $4,700.03	Facility		$852.07	$1,843.12	$4,700.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,211.42 / $4,540.18 / $16,950.43	Professional		$2,211.42	$4,540.18	$16,950.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,716.13 / $3,948.39 / $5,116.14	Facility		$1,716.13	$3,948.39	$5,116.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,439.26 / $2,988.42 / $4,409.13	Professional		$1,439.26	$2,988.42	$4,409.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,147.08 / $2,252.82 / $3,021.67	Professional		$1,147.08	$2,252.82	$3,021.67
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 $2,211.42 / $3,106.44 / $4,743.47	Professional		$2,211.42	$3,106.44	$4,743.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,338.70 / $1,637.90 / $3,667.70	Professional		$1,338.70	$1,637.90	$3,667.70