Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $4,365.16	Facility		$1,258.93	$1,258.93	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,513.56	Professional		$1,096.48	$1,288.25	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,754.23 / $3,388.44	Professional		$2,570.40	$2,754.23	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,951.21	Facility		$1,318.26	$1,698.24	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $8,709.64	Professional		$1,047.13	$2,041.74	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,570.40 / $2,570.40	Professional		$2,290.87	$2,570.40	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $2,290.87	Professional		$1,288.25	$1,949.84	$2,290.87
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 $1,230.27 / $2,137.96 / $3,162.28	Professional		$1,230.27	$2,137.96	$3,162.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $2,691.53	Professional		$2,187.76	$2,570.40	$2,691.53