Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $4,365.16	Facility		$1,122.02	$1,122.02	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $2,398.83	Professional		$1,122.02	$1,288.25	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $3,467.37	Professional		$1,949.84	$2,754.23	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $3,467.37	Facility		$1,023.29	$1,698.24	$3,467.37
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 $2,754.23 / $2,754.23 / $3,019.95	Professional		$2,754.23	$2,754.23	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $2,454.71	Professional		$1,412.54	$2,041.74	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $3,235.94	Professional		$1,202.26	$1,949.84	$3,235.94
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