Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $4,365.16	Facility		$1,288.25	$1,288.25	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,548.82	Professional		$1,122.02	$1,318.26	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,818.38 / $3,548.13	Professional		$2,630.27	$2,818.38	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $3,019.95	Facility		$1,479.11	$1,819.70	$3,019.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,089.30 / $8,912.51	Professional		$1,096.48	$2,089.30	$8,912.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,630.27 / $2,630.27	Professional		$2,398.83	$2,630.27	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $2,344.23	Professional		$1,318.26	$1,995.26	$2,344.23
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 $1,258.93 / $2,187.76 / $3,235.94	Professional		$1,258.93	$2,187.76	$3,235.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $2,754.23	Professional		$2,238.72	$2,630.27	$2,754.23