Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.52 / $1,162.52 / $1,162.52	Facility		$1,162.52	$1,162.52	$1,162.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $994.89 / $1,162.52 / $3,734.37	Professional		$994.89	$1,162.52	$3,734.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,668.82 / $2,677.77 / $3,347.21	Professional		$2,668.82	$2,677.77	$3,347.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,422.69 / $1,964.66 / $3,255.63	Facility		$1,422.69	$1,964.66	$3,255.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,421.00 / $2,446.96 / $13,288.09	Professional		$1,421.00	$2,446.96	$13,288.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,828.95 / $2,996.65 / $3,951.29	Facility		$1,828.95	$2,996.65	$3,951.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,991.00 / $2,735.54 / $3,458.85	Professional		$1,991.00	$2,735.54	$3,458.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,614.41 / $2,189.09 / $2,528.09	Professional		$1,614.41	$2,189.09	$2,528.09
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 $1,421.00 / $2,368.34 / $3,289.05	Professional		$1,421.00	$2,368.34	$3,289.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,508.00 / $2,950.50 / $3,068.60	Professional		$2,508.00	$2,950.50	$3,068.60