Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,365.16 / $6,918.31	Facility		$1,258.93	$4,365.16	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $2,398.83	Professional		$1,174.90	$1,258.93	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $3,715.35	Professional		$2,187.76	$2,951.21	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $3,388.44	Facility		$1,548.82	$2,089.30	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,137.96 / $9,549.93	Professional		$1,174.90	$2,137.96	$9,549.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,884.03 / $2,884.03	Professional		$2,691.53	$2,884.03	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,818.38	Professional		$2,691.53	$2,691.53	$2,818.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $2,511.89	Professional		$1,479.11	$2,137.96	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $3,548.13	Professional		$1,380.38	$2,290.87	$3,548.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $3,090.30	Professional		$2,511.89	$2,951.21	$3,090.30