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 $1,174.90 / $1,380.38 / $2,570.40	Professional		$1,174.90	$1,380.38	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $3,630.78	Professional		$2,089.30	$2,951.21	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $3,467.37	Facility		$1,071.52	$1,778.28	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $9,549.93	Professional		$1,202.26	$2,041.74	$9,549.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,162.28	Professional		$2,951.21	$2,951.21	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
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 $1,258.93 / $2,041.74 / $3,467.37	Professional		$1,258.93	$2,041.74	$3,467.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,162.28 / $3,162.28	Professional		$2,570.40	$3,162.28	$3,162.28