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 $1,174.90 / $1,348.96 / $1,949.84	Professional		$1,174.90	$1,348.96	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,951.21 / $3,715.35	Professional		$2,818.38	$2,951.21	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $3,548.13	Facility		$1,548.82	$1,995.26	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,344.23 / $9,772.37	Professional		$1,202.26	$2,344.23	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,818.38 / $3,090.30	Professional		$2,754.23	$2,818.38	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,511.89	Professional		$1,737.80	$2,238.72	$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 $1,445.44 / $2,454.71 / $3,630.78	Professional		$1,445.44	$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