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 $1,230.27 / $1,445.44 / $2,691.53	Professional		$1,230.27	$1,445.44	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $3,801.89	Professional		$2,187.76	$3,090.30	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $3,630.78	Facility		$1,122.02	$1,862.09	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $10,000.00	Professional		$1,288.25	$2,137.96	$10,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,311.31	Professional		$3,090.30	$3,090.30	$3,311.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $2,754.23	Professional		$1,584.89	$2,290.87	$2,754.23
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 $1,318.26 / $2,137.96 / $3,630.78	Professional		$1,318.26	$2,137.96	$3,630.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,311.31 / $3,311.31	Professional		$2,691.53	$3,311.31	$3,311.31