Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,081.18 / $1,081.18 / $4,338.00	Facility		$1,081.18	$1,081.18	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.84 / $1,081.18 / $3,040.80	Professional		$904.84	$1,081.18	$3,040.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,371.88 / $2,463.51 / $3,079.39	Professional		$2,371.88	$2,463.51	$3,079.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.38 / $1,827.19 / $3,015.18	Facility		$1,258.38	$1,827.19	$3,015.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,292.24 / $2,153.73 / $8,569.23	Professional		$1,292.24	$2,153.73	$8,569.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,792.00 / $2,896.27 / $5,269.25	Facility		$1,792.00	$2,896.27	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,664.00 / $2,371.88 / $2,954.44	Professional		$1,664.00	$2,371.88	$2,954.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,338.49 / $1,818.35 / $2,108.25	Professional		$1,338.49	$1,818.35	$2,108.25
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 $1,292.24 / $2,186.98 / $3,000.76	Professional		$1,292.24	$2,186.98	$3,000.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,054.60 / $2,417.19 / $2,513.90	Professional		$2,054.60	$2,417.19	$2,513.90