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 $1,148.15 / $1,348.96 / $2,511.89	Professional		$1,148.15	$1,348.96	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $3,548.13	Professional		$2,041.74	$2,884.03	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $3,388.44	Facility		$1,047.13	$1,737.80	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $9,332.54	Professional		$1,174.90	$1,995.26	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,951.21 / $3,090.30	Professional		$2,884.03	$2,951.21	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $2,570.40	Professional		$1,479.11	$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 $1,230.27 / $1,995.26 / $3,388.44	Professional		$1,230.27	$1,995.26	$3,388.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $3,090.30	Professional		$2,511.89	$3,090.30	$3,090.30