Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.01 / $1,104.01 / $4,338.00	Facility		$1,104.01	$1,104.01	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.82 / $1,104.01 / $3,109.32	Professional		$923.82	$1,104.01	$3,109.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,424.29 / $2,516.48 / $3,145.62	Professional		$2,424.29	$2,516.48	$3,145.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,293.60 / $1,865.78 / $3,080.72	Facility		$1,293.60	$1,865.78	$3,080.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,316.36 / $2,193.94 / $8,291.52	Professional		$1,316.36	$2,193.94	$8,291.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,847.00 / $2,960.01 / $5,269.25	Facility		$1,847.00	$2,960.01	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,709.00 / $2,424.29 / $3,018.09	Professional		$1,709.00	$2,424.29	$3,018.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,369.20 / $1,857.80 / $2,154.82	Professional		$1,369.20	$1,857.80	$2,154.82
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 $1,440.53 / $1,971.18 / $3,066.28	Professional		$1,440.53	$1,971.18	$3,066.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $2,470.60 / $2,569.40	Professional		$2,100.00	$2,470.60	$2,569.40