Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $4,365.16	Facility		$1,348.96	$1,348.96	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $2,818.38	Professional		$1,258.93	$1,380.38	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $3,890.45	Professional		$2,344.23	$3,162.28	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $3,630.78	Facility		$1,778.28	$2,290.87	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $10,232.93	Professional		$1,288.25	$2,290.87	$10,232.93
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 / $3,019.95	Professional		$2,884.03	$2,884.03	$3,019.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,290.87 / $2,691.53	Professional		$1,548.82	$2,290.87	$2,691.53
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 $1,479.11 / $2,454.71 / $3,801.89	Professional		$1,479.11	$2,454.71	$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