Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.39 / $1,199.39 / $4,338.00	Facility		$1,199.39	$1,199.39	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,011.35 / $1,199.39 / $2,905.60	Professional		$1,011.35	$1,199.39	$2,905.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,092.94 / $2,724.51 / $3,405.64	Professional		$2,092.94	$2,724.51	$3,405.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,555.53 / $1,980.36 / $3,190.67	Facility		$1,555.53	$1,980.36	$3,190.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,156.70 / $2,427.89 / $10,751.99	Professional		$1,156.70	$2,427.89	$10,751.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,790.76 / $2,754.46 / $3,756.30	Facility		$1,790.76	$2,754.46	$3,756.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,790.76 / $2,534.94 / $3,262.16	Professional		$1,790.76	$2,534.94	$3,262.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,477.44 / $2,046.37 / $2,396.76	Professional		$1,477.44	$2,046.37	$2,396.76
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 $1,271.75 / $2,139.80 / $3,328.58	Professional		$1,271.75	$2,139.80	$3,328.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,377.69 / $2,909.20 / $2,909.20	Professional		$2,377.69	$2,909.20	$2,909.20