Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $4,365.16	Facility		$1,071.52	$1,071.52	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,412.54	Professional		$1,023.29	$1,148.15	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,570.40 / $3,235.94	Professional		$2,454.71	$2,570.40	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $2,884.03	Facility		$1,380.38	$1,659.59	$2,884.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,995.26 / $8,511.38	Professional		$1,047.13	$1,995.26	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,454.71 / $2,630.27	Professional		$2,344.23	$2,454.71	$2,630.27
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 $1,479.11 / $1,905.46 / $2,187.76	Professional		$1,479.11	$1,905.46	$2,187.76
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 / $2,137.96 / $3,162.28	Professional		$1,230.27	$2,137.96	$3,162.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,630.27	Professional		$2,137.96	$2,570.40	$2,630.27