Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,728.01 / $1,728.01 / $1,728.01	Professional		$1,728.01	$1,728.01	$1,728.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,545.73 / $2,658.48 / $5,029.82	Professional		$2,545.73	$2,658.48	$5,029.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,508.50 / $2,508.50 / $3,519.39	Facility		$2,508.50	$2,508.50	$3,519.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,129.84 / $1,993.86 / $11,032.69	Professional		$1,129.84	$1,993.86	$11,032.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,658.48 / $2,880.02 / $5,671.42	Facility		$2,658.48	$2,880.02	$5,671.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,658.48 / $2,858.82 / $4,563.72	Professional		$2,658.48	$2,858.82	$4,563.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,536.92 / $5,337.56 / $6,086.15	Professional		$4,536.92	$5,337.56	$6,086.15
United Facility/Professional Professional Modifier Low / Median / High Price $930.47 / $1,329.24 / $2,215.40	Professional		$930.47	$1,329.24	$2,215.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,215.40 / $2,215.40 / $2,215.40	Professional		$2,215.40	$2,215.40	$2,215.40