Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,076.05 / $1,076.05 / $3,073.00	Facility		$1,076.05	$1,076.05	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.20 / $1,076.05 / $2,665.63	Professional		$913.20	$1,076.05	$2,665.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,907.42 / $2,482.98 / $3,103.74	Professional		$1,907.42	$2,482.98	$3,103.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,424.99 / $1,818.52 / $2,988.94	Facility		$1,424.99	$1,818.52	$2,988.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,078.71 / $2,345.07 / $8,216.16	Professional		$1,078.71	$2,345.07	$8,216.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,730.53 / $2,724.75 / $7,445.98	Facility		$1,730.53	$2,724.75	$7,445.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,730.53 / $2,339.32 / $3,006.25	Professional		$1,730.53	$2,339.32	$3,006.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,382.18 / $1,897.83 / $2,195.58	Professional		$1,382.18	$1,897.83	$2,195.58
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 $1,078.71 / $2,193.38 / $3,061.74	Professional		$1,078.71	$2,193.38	$3,061.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,178.10 / $2,665.00 / $2,665.00	Professional		$2,178.10	$2,665.00	$2,665.00