Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,624.98 / $1,624.98 / $4,338.00	Facility		$1,624.98	$1,624.98	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.81 / $1,624.98 / $2,651.43	Professional		$1,323.81	$1,624.98	$2,651.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,142.81 / $3,458.42 / $4,323.03	Professional		$3,142.81	$3,458.42	$4,323.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,323.81 / $1,998.90 / $3,718.44	Facility		$1,323.81	$1,998.90	$3,718.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,349.24 / $2,642.24 / $4,450.27	Professional		$1,349.24	$2,642.24	$4,450.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,380.56 / $2,951.58 / $3,838.46	Facility		$2,380.56	$2,951.58	$3,838.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,175.42 / $3,311.75 / $4,029.32	Professional		$2,175.42	$3,311.75	$4,029.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,535.59 / $2,320.80 / $2,897.47	Professional		$1,535.59	$2,320.80	$2,897.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,553.13 / $2,823.88 / $4,038.15	Professional		$1,553.13	$2,823.88	$4,038.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,823.80 / $3,455.00 / $3,455.00	Professional		$2,823.80	$3,455.00	$3,455.00