Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $4,365.16	Facility		$1,318.26	$1,318.26	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $2,818.38	Professional		$1,288.25	$1,548.82	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,235.94 / $4,073.80	Professional		$2,290.87	$3,235.94	$4,073.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $3,715.35	Facility		$1,202.26	$1,949.84	$3,715.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,238.72 / $10,471.29	Professional		$1,318.26	$2,238.72	$10,471.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,311.31 / $3,548.13	Professional		$3,235.94	$3,311.31	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $2,884.03	Professional		$1,621.81	$2,290.87	$2,884.03
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 $1,380.38 / $2,290.87 / $3,801.89	Professional		$1,380.38	$2,290.87	$3,801.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,467.37 / $3,467.37	Professional		$2,818.38	$3,467.37	$3,467.37