Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,064.84 / $1,064.84 / $4,338.00	Facility		$1,064.84	$1,064.84	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.30 / $1,064.84 / $3,419.52	Professional		$988.30	$1,064.84	$3,419.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,590.21 / $2,652.06 / $3,315.07	Professional		$2,590.21	$2,652.06	$3,315.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,413.27 / $1,799.60 / $3,183.19	Facility		$1,413.27	$1,799.60	$3,183.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,417.75 / $2,362.92 / $10,273.00	Professional		$1,417.75	$2,362.92	$10,273.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,851.55 / $2,932.38 / $3,619.68	Facility		$1,851.55	$2,932.38	$3,619.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,196.00 / $2,590.21 / $3,139.39	Professional		$2,196.00	$2,590.21	$3,139.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,479.77 / $1,980.80 / $2,302.32	Professional		$1,479.77	$1,980.80	$2,302.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,530.59 / $2,472.50 / $3,312.71	Professional		$1,530.59	$2,472.50	$3,312.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,243.80 / $2,639.70 / $2,745.30	Professional		$2,243.80	$2,639.70	$2,745.30