Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $4,365.16	Facility		$1,023.29	$1,023.29	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,862.09	Professional		$891.25	$1,023.29	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,454.71 / $3,090.30	Professional		$2,187.76	$2,454.71	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,691.53	Facility		$1,174.90	$1,584.89	$2,691.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,819.70 / $9,332.54	Professional		$891.25	$1,819.70	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,344.23 / $2,344.23	Professional		$2,089.30	$2,344.23	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $2,089.30	Professional		$1,071.52	$1,737.80	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,778.28 / $2,818.38	Professional		$912.01	$1,778.28	$2,818.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,344.23	Professional		$1,905.46	$1,905.46	$2,344.23