Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $4,365.16	Facility		$1,380.38	$1,380.38	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $1,778.28	Professional		$1,230.27	$1,412.54	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,467.37 / $4,365.16	Professional		$3,388.44	$3,467.37	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,995.26 / $3,981.07	Facility		$1,862.09	$1,995.26	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,630.27 / $11,220.18	Professional		$1,380.38	$2,630.27	$11,220.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,388.44 / $3,388.44	Professional		$3,019.95	$3,388.44	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,570.40 / $2,951.21	Professional		$1,659.59	$2,570.40	$2,951.21
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 $1,584.89 / $2,754.23 / $4,073.80	Professional		$1,584.89	$2,754.23	$4,073.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $3,548.13	Professional		$2,884.03	$3,388.44	$3,548.13