Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $4,365.16	Facility		$1,174.90	$1,174.90	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,380.38	Professional		$1,023.29	$1,202.26	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,511.89 / $3,162.28	Professional		$2,398.83	$2,511.89	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,754.23	Facility		$1,348.96	$1,584.89	$2,754.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,905.46 / $8,128.31	Professional		$977.24	$1,905.46	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,344.23 / $2,398.83	Professional		$2,137.96	$2,344.23	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,778.28 / $2,089.30	Professional		$1,122.02	$1,778.28	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $2,951.21	Professional		$1,122.02	$1,995.26	$2,951.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $2,454.71	Professional		$1,995.26	$2,344.23	$2,454.71