Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,365.16 / $4,897.79	Facility		$1,096.48	$4,365.16	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $2,041.74	Professional		$1,000.00	$1,096.48	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,162.28	Professional		$1,905.46	$2,511.89	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,884.03	Facility		$1,412.54	$1,819.70	$2,884.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $8,128.31	Professional		$1,023.29	$1,819.70	$8,128.31
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 $1,258.93 / $1,862.09 / $2,187.76	Professional		$1,258.93	$1,862.09	$2,187.76
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 $1,174.90 / $1,949.84 / $3,019.95	Professional		$1,174.90	$1,949.84	$3,019.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $2,630.27	Professional		$2,137.96	$2,511.89	$2,630.27