Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $4,365.16	Facility		$1,380.38	$1,380.38	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $3,162.28	Professional		$1,230.27	$1,380.38	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,235.94 / $3,981.07	Professional		$2,398.83	$3,235.94	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $3,801.89	Facility		$1,698.24	$2,290.87	$3,801.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,398.83 / $13,182.57	Professional		$1,258.93	$2,398.83	$13,182.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,235.94 / $3,235.94	Professional		$2,884.03	$3,235.94	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,162.28	Professional		$2,884.03	$2,884.03	$3,162.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $2,630.27	Professional		$1,479.11	$2,344.23	$2,630.27
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 $1,548.82 / $2,511.89 / $3,981.07	Professional		$1,548.82	$2,511.89	$3,981.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $3,235.94	Professional		$2,630.27	$3,090.30	$3,235.94