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 $1,122.02 / $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 $2,041.74 / $2,884.03 / $3,630.78	Professional		$2,041.74	$2,884.03	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $3,311.31	Facility		$1,071.52	$1,621.81	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $9,332.54	Professional		$1,174.90	$1,949.84	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,090.30	Professional		$2,884.03	$2,884.03	$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 $1,380.38 / $2,089.30 / $2,511.89	Professional		$1,380.38	$2,089.30	$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 / $2,089.30 / $3,388.44	Professional		$1,202.26	$2,089.30	$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