Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $4,365.16	Facility		$1,174.90	$1,174.90	$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 $2,041.74 / $2,884.03 / $3,630.78	Professional		$2,041.74	$2,884.03	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $3,548.13	Facility		$1,071.52	$1,778.28	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $9,549.93	Professional		$1,288.25	$2,041.74	$9,549.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,019.95 / $3,162.28	Professional		$2,884.03	$3,019.95	$3,162.28
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 $1,621.81 / $2,137.96 / $2,570.40	Professional		$1,621.81	$2,137.96	$2,570.40
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 / $3,388.44	Professional		$1,318.26	$2,137.96	$3,388.44
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