Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $4,365.16	Facility		$1,096.48	$1,096.48	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,096.48 / $2,137.96	Professional		$1,023.29	$1,096.48	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,162.28	Professional		$1,905.46	$2,570.40	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $2,884.03	Facility		$1,445.44	$1,862.09	$2,884.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $8,709.64	Professional		$1,023.29	$1,819.70	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,511.89 / $2,511.89	Professional		$2,290.87	$2,511.89	$2,511.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,398.83	Professional		$2,290.87	$2,290.87	$2,398.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $2,187.76	Professional		$1,288.25	$1,862.09	$2,187.76
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 $1,174.90 / $1,995.26 / $3,019.95	Professional		$1,174.90	$1,995.26	$3,019.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $2,630.27	Professional		$2,187.76	$2,570.40	$2,630.27