Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,191.61 / $1,191.61 / $1,191.61	Facility		$1,191.61	$1,191.61	$1,191.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.15 / $1,191.61 / $2,958.50	Professional		$1,012.15	$1,191.61	$2,958.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,114.50 / $2,752.56 / $3,440.70	Professional		$2,114.50	$2,752.56	$3,440.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,602.64 / $2,024.30 / $3,293.38	Facility		$1,602.64	$2,024.30	$3,293.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,181.88 / $2,574.41 / $11,130.10	Professional		$1,181.88	$2,574.41	$11,130.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,899.60 / $2,802.79 / $3,834.49	Facility		$1,899.60	$2,802.79	$3,834.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,899.60 / $2,600.62 / $3,331.55	Professional		$1,899.60	$2,600.62	$3,331.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,533.35 / $2,129.33 / $2,436.23	Professional		$1,533.35	$2,129.33	$2,436.23
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 $1,348.50 / $2,451.82 / $3,401.38	Professional		$1,348.50	$2,451.82	$3,401.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,416.80 / $2,957.10 / $2,957.10	Professional		$2,416.80	$2,957.10	$2,957.10