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 $1,071.52 / $1,230.27 / $1,778.28	Professional		$1,071.52	$1,230.27	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,754.23 / $3,388.44	Professional		$2,630.27	$2,754.23	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $3,162.28	Facility		$1,412.54	$1,698.24	$3,162.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $10,232.93	Professional		$1,096.48	$2,137.96	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,630.27 / $2,818.38	Professional		$2,454.71	$2,630.27	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $2,290.87	Professional		$1,584.89	$2,041.74	$2,290.87
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 $1,318.26 / $2,238.72 / $3,311.31	Professional		$1,318.26	$2,238.72	$3,311.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $2,754.23	Professional		$2,238.72	$2,630.27	$2,754.23