Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $4,365.16	Facility		$1,202.26	$1,202.26	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,318.26 / $1,621.81	Professional		$1,174.90	$1,318.26	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,951.21 / $3,630.78	Professional		$2,818.38	$2,951.21	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $3,388.44	Facility		$1,584.89	$1,995.26	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,344.23 / $15,135.61	Professional		$1,202.26	$2,344.23	$15,135.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,818.38 / $3,019.95	Professional		$2,691.53	$2,818.38	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,511.89	Professional		$1,698.24	$2,187.76	$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 $1,412.54 / $2,454.71 / $3,630.78	Professional		$1,412.54	$2,454.71	$3,630.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $3,019.95	Professional		$2,454.71	$2,884.03	$3,019.95