Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.78 / $1,190.78 / $1,190.78	Facility		$1,190.78	$1,190.78	$1,190.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.90 / $1,190.78 / $2,788.00	Professional		$992.90	$1,190.78	$2,788.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,042.08 / $2,658.29 / $3,322.86	Professional		$2,042.08	$2,658.29	$3,322.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,549.68 / $1,943.70 / $2,959.25	Facility		$1,549.68	$1,943.70	$2,959.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,130.83 / $2,321.94 / $8,720.71	Professional		$1,130.83	$2,321.94	$8,720.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,700.90 / $2,692.99 / $3,711.03	Facility		$1,700.90	$2,692.99	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,700.90 / $2,347.21 / $3,190.23	Professional		$1,700.90	$2,347.21	$3,190.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,385.45 / $1,931.92 / $2,308.79	Professional		$1,385.45	$1,931.92	$2,308.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,216.26 / $2,348.36 / $3,181.86	Professional		$1,216.26	$2,348.36	$3,181.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,290.40 / $2,802.40 / $2,802.40	Professional		$2,290.40	$2,802.40	$2,802.40