Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $4,365.16	Facility		$1,258.93	$1,258.93	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $2,691.53	Professional		$1,148.15	$1,348.96	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $3,715.35	Professional		$2,238.72	$3,019.95	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $3,715.35	Facility		$1,698.24	$2,187.76	$3,715.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $9,772.37	Professional		$1,230.27	$2,089.30	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,951.21 / $2,951.21	Professional		$2,630.27	$2,951.21	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,754.23	Professional		$2,630.27	$2,630.27	$2,754.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $2,754.23	Professional		$1,348.96	$2,344.23	$2,754.23
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 / $2,290.87 / $3,548.13	Professional		$1,348.96	$2,290.87	$3,548.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $3,311.31	Professional		$2,754.23	$3,235.94	$3,311.31