Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,462.99 / $1,462.99 / $57,094.65	Facility		$1,462.99	$1,462.99	$57,094.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.28 / $1,462.99 / $1,462.99	Professional		$1,214.28	$1,462.99	$1,462.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,031.25 / $1,041.56 / $1,289.06	Professional		$1,031.25	$1,041.56	$1,289.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,462.99 / $1,882.87 / $3,607.73	Facility		$1,462.99	$1,882.87	$3,607.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,341.08	Professional		$1,219.16	$1,219.16	$1,341.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,870.49 / $1,870.49 / $2,182.23	Facility		$1,870.49	$1,870.49	$2,182.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,333.48 / $1,333.48 / $1,333.48	Professional		$1,333.48	$1,333.48	$1,333.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,341.08	Professional		$1,219.16	$1,219.16	$1,341.08
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,219.16	Facility		$1,219.16	$1,219.16	$1,219.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,219.16	Professional		$1,219.16	$1,219.16	$1,219.16