Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.33 / $1,037.33 / $3,073.00	Facility		$1,037.33	$1,037.33	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.20 / $1,037.33 / $2,568.94	Professional		$880.20	$1,037.33	$2,568.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,838.59 / $2,393.40 / $2,991.74	Professional		$1,838.59	$2,393.40	$2,991.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,394.14 / $1,753.10 / $2,878.54	Facility		$1,394.14	$1,753.10	$2,878.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,033.74 / $2,247.61 / $7,918.64	Professional		$1,033.74	$2,247.61	$7,918.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,659.03 / $2,626.07 / $9,202.58	Facility		$1,659.03	$2,626.07	$9,202.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.03 / $2,254.88 / $2,897.99	Professional		$1,659.03	$2,254.88	$2,897.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,332.78 / $1,827.63 / $2,116.01	Professional		$1,332.78	$1,827.63	$2,116.01
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $12,808.14	Facility		$4,500.00	$4,500.00	$12,808.14
United Facility/Professional Professional Modifier Low / Median / High Price $958.32 / $1,621.28 / $2,951.20	Professional		$958.32	$1,621.28	$2,951.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,099.19 / $2,568.40 / $2,568.40	Professional		$2,099.19	$2,568.40	$2,568.40