Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $4,365.16	Facility		$1,230.27	$1,230.27	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,230.27 / $2,238.72	Professional		$1,096.48	$1,230.27	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $3,548.13	Professional		$2,137.96	$2,818.38	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $2,951.21	Facility		$1,479.11	$2,041.74	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $10,715.19	Professional		$1,148.15	$1,905.46	$10,715.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $2,884.03	Professional		$2,398.83	$2,884.03	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,570.40	Professional		$2,398.83	$2,398.83	$2,570.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $2,398.83	Professional		$1,380.38	$1,995.26	$2,398.83
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 $1,230.27 / $2,238.72 / $3,548.13	Professional		$1,230.27	$2,238.72	$3,548.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $2,951.21	Professional		$2,398.83	$2,818.38	$2,951.21