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 $1,202.26 / $1,348.96 / $2,754.23	Professional		$1,202.26	$1,348.96	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $3,890.45	Professional		$2,344.23	$3,162.28	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $3,467.37	Facility		$1,621.81	$2,238.72	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,344.23 / $10,964.78	Professional		$1,258.93	$2,344.23	$10,964.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,235.94 / $3,235.94	Professional		$2,818.38	$3,235.94	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,090.30	Professional		$2,818.38	$2,818.38	$3,090.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $2,570.40	Professional		$1,584.89	$2,187.76	$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 $1,513.56 / $2,454.71 / $3,890.45	Professional		$1,513.56	$2,454.71	$3,890.45
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