Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $4,365.16	Facility		$1,096.48	$1,096.48	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $2,041.74	Professional		$954.99	$1,096.48	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,691.53 / $3,311.31	Professional		$2,344.23	$2,691.53	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,951.21	Facility		$1,380.38	$1,621.81	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,041.74 / $8,511.38	Professional		$1,023.29	$2,041.74	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,511.89 / $2,570.40	Professional		$2,290.87	$2,511.89	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $2,290.87	Professional		$1,230.27	$1,905.46	$2,290.87
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 $1,047.13 / $1,949.84 / $3,090.30	Professional		$1,047.13	$1,949.84	$3,090.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,570.40	Professional		$2,089.30	$2,089.30	$2,570.40