Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.26 / $1,121.26 / $3,511.00	Facility		$1,121.26	$1,121.26	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.67 / $899.44 / $1,664.56	Professional		$817.67	$899.44	$1,664.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,127.60 / $2,366.13 / $2,957.66	Professional		$2,127.60	$2,366.13	$2,957.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $910.08 / $1,307.33 / $2,493.62	Facility		$910.08	$1,307.33	$2,493.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $905.24 / $1,760.75 / $2,920.88	Professional		$905.24	$1,760.75	$2,920.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,879.76 / $2,214.54 / $2,777.32	Facility		$1,879.76	$2,214.54	$2,777.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,422.98 / $2,180.79 / $2,773.08	Professional		$1,422.98	$2,180.79	$2,773.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,046.44 / $1,524.19 / $1,974.99	Professional		$1,046.44	$1,524.19	$1,974.99
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 $1,019.38 / $1,884.75 / $2,762.00	Professional		$1,019.38	$1,884.75	$2,762.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,924.70 / $2,355.00 / $2,355.00	Professional		$1,924.70	$2,355.00	$2,355.00