Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,034.59 / $1,034.59 / $4,338.00	Facility		$1,034.59	$1,034.59	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.42 / $1,151.19 / $1,266.30	Professional		$1,012.42	$1,151.19	$1,266.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,516.71 / $2,528.96 / $3,161.20	Professional		$2,516.71	$2,528.96	$3,161.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,377.46 / $1,748.47 / $3,029.18	Facility		$1,377.46	$1,748.47	$3,029.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,343.32 / $2,238.86 / $8,525.84	Professional		$1,343.32	$2,238.86	$8,525.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,752.97 / $2,830.22 / $3,574.84	Facility		$1,752.97	$2,830.22	$3,574.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,832.00 / $2,516.71 / $3,100.96	Professional		$1,832.00	$2,516.71	$3,100.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,374.57 / $1,901.55 / $2,236.98	Professional		$1,374.57	$1,901.55	$2,236.98
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 $1,343.32 / $2,370.63 / $3,178.08	Professional		$1,343.32	$2,370.63	$3,178.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,180.10 / $2,564.80 / $2,667.40	Professional		$2,180.10	$2,564.80	$2,667.40