Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $4,365.16	Facility		$1,023.29	$1,023.29	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $2,290.87	Professional		$1,023.29	$1,148.15	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $3,162.28	Professional		$1,778.28	$2,511.89	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,659.59 / $2,884.03	Facility		$933.25	$1,659.59	$2,884.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $9,332.54	Professional		$1,071.52	$1,698.24	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,511.89 / $2,691.53	Professional		$2,398.83	$2,511.89	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,137.96	Professional		$1,258.93	$1,778.28	$2,137.96
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 $1,071.52 / $1,698.24 / $2,951.21	Professional		$1,071.52	$1,698.24	$2,951.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,570.40	Professional		$2,137.96	$2,570.40	$2,570.40