Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,548.13 / $4,365.16	Facility		$1,148.15	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $2,454.71	Professional		$1,122.02	$1,348.96	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $3,548.13	Professional		$1,995.26	$2,818.38	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $3,311.31	Facility		$1,047.13	$1,778.28	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $9,772.37	Professional		$1,148.15	$1,905.46	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,090.30	Professional		$2,818.38	$2,818.38	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $2,511.89	Professional		$1,445.44	$2,089.30	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $3,311.31	Professional		$1,202.26	$1,995.26	$3,311.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $3,019.95	Professional		$2,454.71	$3,019.95	$3,019.95