Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,365.16 / $4,897.79	Facility		$1,412.54	$4,365.16	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $3,162.28	Professional		$1,258.93	$1,412.54	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $3,981.07	Professional		$2,454.71	$3,235.94	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $3,715.35	Facility		$1,819.70	$2,344.23	$3,715.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $11,481.54	Professional		$1,288.25	$2,344.23	$11,481.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,162.28 / $3,162.28	Professional		$2,884.03	$3,162.28	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,090.30	Professional		$2,884.03	$2,884.03	$3,090.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $2,691.53	Professional		$1,698.24	$2,290.87	$2,691.53
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 / $2,511.89 / $3,801.89	Professional		$1,513.56	$2,511.89	$3,801.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $3,311.31	Professional		$2,691.53	$3,162.28	$3,311.31