Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.27 / $1,017.27 / $3,073.00	Facility		$1,017.27	$1,017.27	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $860.25 / $1,017.27 / $1,807.22	Professional		$860.25	$1,017.27	$1,807.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,788.92 / $2,328.73 / $2,910.91	Professional		$1,788.92	$2,328.73	$2,910.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,353.93 / $1,719.19 / $2,753.61	Facility		$1,353.93	$1,719.19	$2,753.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,004.30 / $2,160.86 / $7,734.40	Professional		$1,004.30	$2,160.86	$7,734.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,595.76 / $2,565.14 / $7,260.61	Facility		$1,595.76	$2,565.14	$7,260.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,595.76 / $2,197.14 / $2,828.67	Professional		$1,595.76	$2,197.14	$2,828.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,298.75 / $1,756.27 / $2,055.19	Professional		$1,298.75	$1,756.27	$2,055.19
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 $1,131.88 / $2,057.10 / $2,894.61	Professional		$1,131.88	$2,057.10	$2,894.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,038.80 / $2,494.60 / $2,494.60	Professional		$2,038.80	$2,494.60	$2,494.60