Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $4,365.16	Facility		$1,047.13	$1,047.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,905.46	Professional		$912.01	$1,047.13	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $2,951.21	Professional		$1,778.28	$2,344.23	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,398.83	Facility		$1,258.93	$1,659.59	$2,398.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,513.56 / $7,585.78	Professional		$912.01	$1,513.56	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,137.96 / $2,137.96	Professional		$1,905.46	$2,137.96	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,041.74	Professional		$1,905.46	$1,905.46	$2,041.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $1,949.84	Professional		$1,071.52	$1,548.82	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,698.24 / $2,691.53	Professional		$977.24	$1,698.24	$2,691.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $2,398.83	Professional		$1,949.84	$2,290.87	$2,398.83