Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $4,365.16	Facility		$1,258.93	$1,258.93	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $2,754.23	Professional		$1,148.15	$1,258.93	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $3,630.78	Professional		$2,187.76	$2,884.03	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $3,235.94	Facility		$1,584.89	$2,089.30	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,041.74 / $9,332.54	Professional		$1,174.90	$2,041.74	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,818.38 / $2,818.38	Professional		$2,630.27	$2,818.38	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,691.53	Professional		$2,630.27	$2,630.27	$2,691.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $2,511.89	Professional		$1,412.54	$2,137.96	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,238.72 / $3,467.37	Professional		$1,318.26	$2,238.72	$3,467.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $3,019.95	Professional		$2,454.71	$2,884.03	$3,019.95