Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,396.43 / $1,396.43 / $3,511.00	Facility		$1,396.43	$1,396.43	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.47 / $1,396.43 / $3,270.98	Professional		$1,163.47	$1,396.43	$3,270.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,390.41 / $3,111.73 / $3,889.66	Professional		$2,390.41	$3,111.73	$3,889.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.32 / $2,347.11 / $3,512.47	Facility		$1,819.32	$2,347.11	$3,512.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,333.37 / $2,610.76 / $10,231.60	Professional		$1,333.37	$2,610.76	$10,231.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,917.80 / $3,391.43 / $8,250.46	Facility		$1,917.80	$3,391.43	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,917.80 / $2,779.00 / $3,765.10	Professional		$1,917.80	$2,779.00	$3,765.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,569.77 / $2,301.33 / $2,707.28	Professional		$1,569.77	$2,301.33	$2,707.28
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 $1,367.54 / $2,789.50 / $3,786.78	Professional		$1,367.54	$2,789.50	$3,786.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,685.70 / $3,286.10 / $3,286.10	Professional		$2,685.70	$3,286.10	$3,286.10