Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,363.67 / $1,363.67 / $1,363.67	Facility		$1,363.67	$1,363.67	$1,363.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.10 / $1,363.67 / $3,143.28	Professional		$1,133.10	$1,363.67	$3,143.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,349.11 / $3,057.97 / $3,822.46	Professional		$2,349.11	$3,057.97	$3,822.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,627.71 / $2,216.01 / $3,480.17	Facility		$1,627.71	$2,216.01	$3,480.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,331.37 / $2,878.79 / $10,981.50	Professional		$1,331.37	$2,878.79	$10,981.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,113.11 / $3,094.50 / $4,127.52	Facility		$2,113.11	$3,094.50	$4,127.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,113.11 / $2,835.92 / $3,587.36	Professional		$2,113.11	$2,835.92	$3,587.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,628.70 / $2,204.00 / $2,592.78	Professional		$1,628.70	$2,204.00	$2,592.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,331.37 / $2,482.94 / $3,862.35	Professional		$1,331.37	$2,482.94	$3,862.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,572.10 / $3,147.10 / $3,147.10	Professional		$2,572.10	$3,147.10	$3,147.10