Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,255.26 / $1,255.26 / $1,255.26	Facility		$1,255.26	$1,255.26	$1,255.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,074.97 / $1,140.53 / $2,109.40	Professional		$1,074.97	$1,140.53	$2,109.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,889.31 / $2,903.79 / $3,612.10	Professional		$2,889.31	$2,903.79	$3,612.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,399.40 / $1,816.70 / $3,547.17	Facility		$1,399.40	$1,816.70	$3,547.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,414.50 / $2,571.82 / $9,811.12	Professional		$1,414.50	$2,571.82	$9,811.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,463.00 / $3,245.38 / $4,279.79	Facility		$1,463.00	$3,245.38	$4,279.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,989.88 / $2,976.38 / $3,743.49	Professional		$1,989.88	$2,976.38	$3,743.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,754.10 / $2,380.56 / $2,735.74	Professional		$1,754.10	$2,380.56	$2,735.74
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $521.96 / $521.96 / $521.96	Professional	AS	$521.96	$521.96	$521.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,727.71 / $2,552.75 / $3,567.76	Professional		$1,727.71	$2,552.75	$3,567.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,714.00 / $3,192.90 / $3,320.60	Professional		$2,714.00	$3,192.90	$3,320.60