Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,548.13 / $4,365.16	Facility		$1,380.38	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $2,884.03	Professional		$1,258.93	$1,380.38	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $3,981.07	Professional		$2,398.83	$3,162.28	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $3,548.13	Facility		$1,819.70	$2,344.23	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $10,232.93	Professional		$1,288.25	$2,089.30	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $3,090.30	Professional		$2,691.53	$3,090.30	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,818.38	Professional		$2,691.53	$2,691.53	$2,818.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $2,691.53	Professional		$1,513.56	$2,290.87	$2,691.53
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 $1,380.38 / $2,454.71 / $3,801.89	Professional		$1,380.38	$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