Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.21 / $1,207.21 / $1,207.21	Facility		$1,207.21	$1,207.21	$1,207.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,017.00 / $1,207.21 / $2,924.43	Professional		$1,017.00	$1,207.21	$2,924.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,103.73 / $2,738.54 / $3,423.17	Professional		$2,103.73	$2,738.54	$3,423.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,460.92 / $1,901.91 / $3,203.00	Facility		$1,460.92	$1,901.91	$3,203.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,133.51 / $2,459.71 / $9,021.60	Professional		$1,133.51	$2,459.71	$9,021.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,161.09 / $3,241.93 / $10,457.19	Facility		$2,161.09	$3,241.93	$10,457.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,814.68 / $2,555.41 / $3,289.49	Professional		$1,814.68	$2,555.41	$3,289.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,495.69 / $2,053.91 / $2,411.64	Professional		$1,495.69	$2,053.91	$2,411.64
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 $1,288.42 / $2,342.58 / $3,348.24	Professional		$1,288.42	$2,342.58	$3,348.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,392.40 / $2,927.20 / $2,927.20	Professional		$2,392.40	$2,927.20	$2,927.20