Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $4,365.16	Facility		$1,202.26	$1,202.26	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,202.26 / $2,187.76	Professional		$1,122.02	$1,202.26	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $3,467.37	Professional		$2,089.30	$2,818.38	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $3,235.94	Facility		$1,445.44	$1,995.26	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $9,120.11	Professional		$1,122.02	$1,995.26	$9,120.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,754.23 / $2,754.23	Professional		$2,570.40	$2,754.23	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,630.27	Professional		$2,570.40	$2,570.40	$2,630.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $2,398.83	Professional		$1,380.38	$2,089.30	$2,398.83
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 $1,288.25 / $2,187.76 / $3,311.31	Professional		$1,288.25	$2,187.76	$3,311.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $2,951.21	Professional		$2,398.83	$2,818.38	$2,951.21