Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $4,365.16	Facility		$1,202.26	$1,202.26	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $2,630.27	Professional		$1,202.26	$1,412.54	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $3,715.35	Professional		$2,089.30	$2,951.21	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $3,548.13	Facility		$1,096.48	$1,819.70	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $9,772.37	Professional		$1,230.27	$2,041.74	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,019.95 / $3,235.94	Professional		$2,951.21	$3,019.95	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $2,630.27	Professional		$1,513.56	$2,187.76	$2,630.27
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 $1,288.25 / $2,089.30 / $3,467.37	Professional		$1,288.25	$2,089.30	$3,467.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $3,235.94	Professional		$2,630.27	$3,235.94	$3,235.94