Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $4,365.16	Facility		$1,202.26	$1,202.26	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $2,344.23	Professional		$1,071.52	$1,202.26	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $3,388.44	Professional		$2,041.74	$2,691.53	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,951.21	Facility		$1,548.82	$1,949.84	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $8,709.64	Professional		$1,096.48	$1,862.09	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $2,570.40	Professional		$2,344.23	$2,570.40	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,511.89	Professional		$2,344.23	$2,344.23	$2,511.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $2,290.87	Professional		$1,258.93	$1,949.84	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $3,162.28	Professional		$1,230.27	$2,041.74	$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