Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,371.38 / $1,371.38 / $4,338.00	Facility		$1,371.38	$1,371.38	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,154.67 / $1,371.38 / $3,332.18	Professional		$1,154.67	$1,371.38	$3,332.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,384.42 / $3,103.93 / $3,879.92	Professional		$2,384.42	$3,103.93	$3,879.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,769.81 / $2,269.06 / $3,672.64	Facility		$1,769.81	$2,269.06	$3,672.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,305.91 / $2,853.25 / $10,697.50	Professional		$1,305.91	$2,853.25	$10,697.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,107.33 / $3,152.55 / $4,323.58	Facility		$2,107.33	$3,152.55	$4,323.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,107.33 / $2,775.93 / $3,755.50	Professional		$2,107.33	$2,775.93	$3,755.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,720.80 / $2,354.44 / $2,744.80	Professional		$1,720.80	$2,354.44	$2,744.80
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 $1,242.69 / $2,717.38 / $3,827.26	Professional		$1,242.69	$2,717.38	$3,827.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,722.90 / $3,331.60 / $3,331.60	Professional		$2,722.90	$3,331.60	$3,331.60