Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,548.13 / $4,365.16	Facility		$1,380.38	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,691.53	Professional		$1,258.93	$1,479.11	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $4,073.80	Professional		$2,454.71	$3,311.31	$4,073.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $3,311.31	Facility		$1,698.24	$2,344.23	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $10,715.19	Professional		$1,348.96	$2,089.30	$10,715.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,235.94 / $3,235.94	Professional		$2,691.53	$3,235.94	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,754.23	Professional		$2,691.53	$2,691.53	$2,754.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $3,019.95	Professional		$1,584.89	$2,238.72	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,454.71 / $3,801.89	Professional		$1,348.96	$2,454.71	$3,801.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $3,630.78	Professional		$3,019.95	$3,548.13	$3,630.78