Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,548.13 / $4,365.16	Facility		$1,258.93	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,318.26 / $2,344.23	Professional		$1,174.90	$1,318.26	$2,344.23
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 $1,621.81 / $2,137.96 / $3,548.13	Facility		$1,621.81	$2,137.96	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,238.72 / $9,772.37	Professional		$1,202.26	$2,238.72	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,019.95 / $3,019.95	Professional		$2,754.23	$3,019.95	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,951.21	Professional		$2,754.23	$2,754.23	$2,951.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $2,570.40	Professional		$1,548.82	$2,238.72	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $3,630.78	Professional		$1,445.44	$2,344.23	$3,630.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $3,162.28	Professional		$2,570.40	$3,019.95	$3,162.28