Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,249.08 / $1,249.08 / $1,249.08	Facility		$1,249.08	$1,249.08	$1,249.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.43 / $1,249.08 / $3,029.80	Professional		$1,051.43	$1,249.08	$3,029.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,171.36 / $2,826.57 / $3,533.22	Professional		$2,171.36	$2,826.57	$3,533.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,645.01 / $2,065.79 / $3,301.27	Facility		$1,645.01	$2,065.79	$3,301.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,234.29 / $2,582.60 / $9,344.56	Professional		$1,234.29	$2,582.60	$9,344.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,907.05 / $2,864.32 / $3,932.53	Facility		$1,907.05	$2,864.32	$3,932.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,907.05 / $2,647.48 / $3,416.82	Professional		$1,907.05	$2,647.48	$3,416.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,571.45 / $2,133.40 / $2,496.39	Professional		$1,571.45	$2,133.40	$2,496.39
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 $1,234.29 / $2,236.86 / $3,479.56	Professional		$1,234.29	$2,236.86	$3,479.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,476.50 / $3,030.10 / $3,030.10	Professional		$2,476.50	$3,030.10	$3,030.10