Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $4,365.16	Facility		$1,148.15	$1,148.15	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $2,344.23	Professional		$1,071.52	$1,174.90	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $3,311.31	Professional		$1,995.26	$2,691.53	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $3,162.28	Facility		$1,513.56	$1,949.84	$3,162.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $8,709.64	Professional		$1,071.52	$1,905.46	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,630.27 / $2,630.27	Professional		$2,454.71	$2,630.27	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,511.89	Professional		$2,454.71	$2,454.71	$2,511.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $2,290.87	Professional		$1,348.96	$1,949.84	$2,290.87
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 $1,258.93 / $2,089.30 / $3,162.28	Professional		$1,258.93	$2,089.30	$3,162.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $2,818.38	Professional		$2,290.87	$2,691.53	$2,818.38