Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $4,365.16	Facility		$1,148.15	$1,148.15	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $2,398.83	Professional		$1,071.52	$1,318.26	$2,398.83
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 / $1,659.59 / $3,019.95	Facility		$1,047.13	$1,659.59	$3,019.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $9,120.11	Professional		$1,148.15	$1,905.46	$9,120.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,818.38 / $3,019.95	Professional		$2,630.27	$2,818.38	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,511.89	Professional		$1,380.38	$1,905.46	$2,511.89
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 $1,202.26 / $1,949.84 / $3,311.31	Professional		$1,202.26	$1,949.84	$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