Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $4,365.16	Facility		$1,348.96	$1,348.96	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $3,981.07	Professional		$1,230.27	$1,380.38	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $3,890.45	Professional		$2,344.23	$3,090.30	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $3,548.13	Facility		$1,737.80	$2,238.72	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,290.87 / $12,589.25	Professional		$1,258.93	$2,290.87	$12,589.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,162.28 / $3,162.28	Professional		$2,754.23	$3,162.28	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,019.95	Professional		$2,754.23	$2,754.23	$3,019.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $2,570.40	Professional		$1,548.82	$2,238.72	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $3,801.89	Professional		$1,479.11	$2,454.71	$3,801.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $3,162.28	Professional		$2,570.40	$3,019.95	$3,162.28