Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,548.13 / $4,365.16	Facility		$1,202.26	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $2,238.72	Professional		$1,122.02	$1,258.93	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $3,548.13	Professional		$2,137.96	$2,884.03	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $3,388.44	Facility		$1,621.81	$2,041.74	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,137.96 / $9,332.54	Professional		$1,148.15	$2,137.96	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,884.03 / $2,884.03	Professional		$2,630.27	$2,884.03	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,818.38	Professional		$2,630.27	$2,630.27	$2,818.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $2,454.71	Professional		$1,479.11	$2,137.96	$2,454.71
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 $1,380.38 / $2,238.72 / $3,548.13	Professional		$1,380.38	$2,238.72	$3,548.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $3,019.95	Professional		$2,454.71	$2,884.03	$3,019.95