Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.26 / $1,222.26 / $1,222.26	Facility		$1,222.26	$1,222.26	$1,222.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,135.78 / $1,222.26 / $1,222.26	Professional		$1,135.78	$1,222.26	$1,222.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,370.38 / $2,513.38 / $3,141.72	Professional		$2,370.38	$2,513.38	$3,141.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,200.66 / $1,919.47 / $3,317.26	Facility		$1,200.66	$1,919.47	$3,317.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,352.46 / $2,359.58 / $12,431.63	Professional		$1,352.46	$2,359.58	$12,431.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $2,751.86 / $3,785.51	Facility		$2,387.00	$2,751.86	$3,785.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,128.82 / $2,646.27 / $3,560.20	Professional		$2,128.82	$2,646.27	$3,560.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,545.65 / $2,063.07 / $2,352.13	Professional		$1,545.65	$2,063.07	$2,352.13
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,352.46 / $2,477.56 / $3,261.78	Professional		$1,352.46	$2,477.56	$3,261.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,426.10 / $2,854.30 / $2,968.40	Professional		$2,426.10	$2,854.30	$2,968.40