Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,010.15 / $1,010.15 / $3,073.00	Facility		$1,010.15	$1,010.15	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.08 / $1,010.15 / $2,499.57	Professional		$857.08	$1,010.15	$2,499.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,790.11 / $2,330.29 / $2,912.86	Professional		$1,790.11	$2,330.29	$2,912.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,316.61 / $1,707.15 / $2,752.43	Facility		$1,316.61	$1,707.15	$2,752.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,003.91 / $2,127.92 / $7,708.72	Professional		$1,003.91	$2,127.92	$7,708.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,572.00 / $2,556.42 / $10,783.07	Facility		$1,572.00	$2,556.42	$10,783.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,572.00 / $2,192.08 / $2,817.73	Professional		$1,572.00	$2,192.08	$2,817.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,295.51 / $1,764.39 / $2,059.08	Professional		$1,295.51	$1,764.39	$2,059.08
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 $931.63 / $2,026.60 / $2,870.92	Professional		$931.63	$2,026.60	$2,870.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,042.70 / $2,499.30 / $2,499.30	Professional		$2,042.70	$2,499.30	$2,499.30