Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $4,365.16	Facility		$1,230.27	$1,230.27	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $2,511.89	Professional		$1,122.02	$1,230.27	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $3,548.13	Professional		$2,137.96	$2,818.38	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,235.94	Facility		$1,513.56	$2,041.74	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,041.74 / $14,791.08	Professional		$1,096.48	$2,041.74	$14,791.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,818.38 / $2,818.38	Professional		$2,570.40	$2,818.38	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,691.53	Professional		$2,570.40	$2,570.40	$2,691.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $2,454.71	Professional		$1,288.25	$2,041.74	$2,454.71
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 $1,318.26 / $2,238.72 / $3,467.37	Professional		$1,318.26	$2,238.72	$3,467.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $2,951.21	Professional		$2,398.83	$2,818.38	$2,951.21