Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,365.16 / $10,232.93	Facility		$1,380.38	$4,365.16	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $2,398.83	Professional		$1,258.93	$1,380.38	$2,398.83
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 $1,698.24 / $2,290.87 / $3,388.44	Facility		$1,698.24	$2,290.87	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,187.76 / $10,232.93	Professional		$1,202.26	$2,187.76	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,019.95 / $3,019.95	Professional		$2,630.27	$3,019.95	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,951.21	Professional		$2,630.27	$2,630.27	$2,951.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,238.72 / $2,691.53	Professional		$1,258.93	$2,238.72	$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 $1,445.44 / $2,398.83 / $3,715.35	Professional		$1,445.44	$2,398.83	$3,715.35
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