Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.26 / $1,169.26 / $1,169.26	Facility		$1,169.26	$1,169.26	$1,169.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.66 / $1,169.26 / $3,773.91	Professional		$1,096.66	$1,169.26	$3,773.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,854.42 / $2,896.69 / $3,620.87	Professional		$2,854.42	$2,896.69	$3,620.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,528.70 / $1,976.05 / $3,376.17	Facility		$1,528.70	$1,976.05	$3,376.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,487.95 / $2,479.92 / $10,596.79	Professional		$1,487.95	$2,479.92	$10,596.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,929.97 / $3,199.48 / $4,005.52	Facility		$1,929.97	$3,199.48	$4,005.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,911.00 / $2,854.42 / $3,476.87	Professional		$1,911.00	$2,854.42	$3,476.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,611.97 / $2,178.65 / $2,537.14	Professional		$1,611.97	$2,178.65	$2,537.14
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,487.95 / $2,261.92 / $3,518.56	Professional		$1,487.95	$2,261.92	$3,518.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,472.60 / $2,908.90 / $3,025.30	Professional		$2,472.60	$2,908.90	$3,025.30