Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $4,365.16	Facility		$1,047.13	$1,047.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,071.52 / $1,737.80	Professional		$954.99	$1,071.52	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,630.27 / $3,311.31	Professional		$2,570.40	$2,630.27	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,884.03	Facility		$1,412.54	$1,659.59	$2,884.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,041.74 / $10,000.00	Professional		$1,071.52	$2,041.74	$10,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,570.40 / $2,630.27	Professional		$2,398.83	$2,570.40	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,238.72	Professional		$1,348.96	$1,905.46	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $3,235.94	Professional		$1,348.96	$2,344.23	$3,235.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $2,691.53	Professional		$2,187.76	$2,570.40	$2,691.53