Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.11 / $1,011.11 / $4,338.00	Facility		$1,011.11	$1,011.11	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.41 / $1,011.11 / $2,953.83	Professional		$849.41	$1,011.11	$2,953.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,248.90 / $2,318.60 / $2,898.25	Professional		$2,248.90	$2,318.60	$2,898.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,214.66 / $1,708.78 / $2,843.09	Facility		$1,214.66	$1,708.78	$2,843.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,244.59 / $2,074.34 / $8,569.23	Professional		$1,244.59	$2,074.34	$8,569.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $2,736.59 / $5,269.25	Facility		$1,749.00	$2,736.59	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,641.00 / $2,248.90 / $2,781.49	Professional		$1,641.00	$2,248.90	$2,781.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,289.63 / $1,753.27 / $1,998.92	Professional		$1,289.63	$1,753.27	$1,998.92
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 $1,244.59 / $2,167.01 / $2,856.95	Professional		$1,244.59	$2,167.01	$2,856.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,948.10 / $2,291.90 / $2,383.50	Professional		$1,948.10	$2,291.90	$2,383.50