Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,216.47 / $1,216.47 / $1,216.47	Facility		$1,216.47	$1,216.47	$1,216.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.24 / $1,216.47 / $2,903.77	Professional		$1,020.24	$1,216.47	$2,903.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,991.46 / $2,739.32 / $3,424.14	Professional		$1,991.46	$2,739.32	$3,424.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,458.94 / $1,881.95 / $2,347.21	Facility		$1,458.94	$1,881.95	$2,347.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,051.88 / $2,093.69 / $9,013.36	Professional		$1,051.88	$2,093.69	$9,013.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,435.27 / $2,635.19 / $3,805.30	Facility		$1,435.27	$2,635.19	$3,805.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,435.27 / $2,163.57 / $3,262.16	Professional		$1,435.27	$2,163.57	$3,262.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,245.69 / $1,788.37 / $2,398.71	Professional		$1,245.69	$1,788.37	$2,398.71
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,051.88 / $2,093.69 / $3,256.85	Professional		$1,051.88	$2,093.69	$3,256.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,379.60 / $2,911.50 / $2,911.50	Professional		$2,379.60	$2,911.50	$2,911.50