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 $1,047.13 / $1,202.26 / $1,659.59	Professional		$1,047.13	$1,202.26	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,951.21 / $3,715.35	Professional		$2,884.03	$2,951.21	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $3,388.44	Facility		$1,584.89	$1,862.09	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,238.72 / $10,715.19	Professional		$1,148.15	$2,238.72	$10,715.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,884.03 / $2,951.21	Professional		$2,630.27	$2,884.03	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,238.72 / $2,511.89	Professional		$1,412.54	$2,238.72	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,398.83 / $3,467.37	Professional		$1,348.96	$2,398.83	$3,467.37
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