Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,128.01 / $1,128.01 / $3,073.00	Facility		$1,128.01	$1,128.01	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $957.41 / $1,128.01 / $2,796.52	Professional		$957.41	$1,128.01	$2,796.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,998.99 / $2,602.19 / $3,252.74	Professional		$1,998.99	$2,602.19	$3,252.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,516.77 / $1,906.34 / $3,086.59	Facility		$1,516.77	$1,906.34	$3,086.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,157.49 / $2,390.67 / $8,617.68	Professional		$1,157.49	$2,390.67	$8,617.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,387.40 / $2,529.91 / $3,162.96	Facility		$1,387.40	$2,529.91	$3,162.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,766.90 / $2,425.13 / $3,153.80	Professional		$1,766.90	$2,425.13	$3,153.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,450.86 / $1,978.48 / $2,302.96	Professional		$1,450.86	$1,978.48	$2,302.96
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 $1,252.26 / $2,065.69 / $3,213.31	Professional		$1,252.26	$2,065.69	$3,213.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,284.60 / $2,795.30 / $2,795.30	Professional		$2,284.60	$2,795.30	$2,795.30