Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,243.59 / $1,243.59 / $4,338.00	Facility		$1,243.59	$1,243.59	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,058.64 / $1,166.08 / $2,017.90	Professional		$1,058.64	$1,166.08	$2,017.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,188.71 / $2,849.17 / $3,561.46	Professional		$2,188.71	$2,849.17	$3,561.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,637.95 / $2,057.03 / $3,352.79	Facility		$1,637.95	$2,057.03	$3,352.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,228.32 / $2,599.96 / $11,680.42	Professional		$1,228.32	$2,599.96	$11,680.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,919.25 / $2,890.85 / $3,957.56	Facility		$1,919.25	$2,890.85	$3,957.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,919.25 / $2,666.30 / $3,409.62	Professional		$1,919.25	$2,666.30	$3,409.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,579.40 / $2,149.64 / $2,514.50	Professional		$1,579.40	$2,149.64	$2,514.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,228.32 / $2,244.89 / $3,492.05	Professional		$1,228.32	$2,244.89	$3,492.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,494.50 / $3,052.10 / $3,052.10	Professional		$2,494.50	$3,052.10	$3,052.10