Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,313.29 / $1,313.29 / $1,313.29	Facility		$1,313.29	$1,313.29	$1,313.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,182.69 / $1,313.29 / $4,012.02	Professional		$1,182.69	$1,313.29	$4,012.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,034.19 / $3,103.16 / $3,878.94	Professional		$3,034.19	$3,103.16	$3,878.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,691.25 / $2,219.46 / $3,743.04	Facility		$1,691.25	$2,219.46	$3,743.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,664.76 / $2,774.60 / $12,225.55	Professional		$1,664.76	$2,774.60	$12,225.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,176.50 / $3,436.19 / $4,242.25	Facility		$2,176.50	$3,436.19	$4,242.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,300.00 / $3,034.19 / $3,682.24	Professional		$2,300.00	$3,034.19	$3,682.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,745.88 / $2,327.17 / $2,696.93	Professional		$1,745.88	$2,327.17	$2,696.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,664.76 / $2,740.57 / $3,884.33	Professional		$1,664.76	$2,740.57	$3,884.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,675.50 / $3,147.60 / $3,273.50	Professional		$2,675.50	$3,147.60	$3,273.50