Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $4,365.16	Facility		$1,230.27	$1,230.27	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,995.26	Professional		$1,096.48	$1,288.25	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,754.23 / $3,467.37	Professional		$2,630.27	$2,754.23	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $3,090.30	Facility		$1,445.44	$1,698.24	$3,090.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,089.30 / $9,772.37	Professional		$1,122.02	$2,089.30	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,630.27 / $2,754.23	Professional		$2,454.71	$2,630.27	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $2,344.23	Professional		$1,380.38	$2,041.74	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
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 / $2,691.53	Professional		$2,238.72	$2,630.27	$2,691.53