Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,744.43 / $2,744.43 / $2,744.43	Facility		$2,744.43	$2,744.43	$2,744.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,956.13 / $2,277.29 / $2,744.43	Professional		$1,956.13	$2,277.29	$2,744.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,193.50 / $5,302.69 / $6,628.37	Professional		$4,193.50	$5,302.69	$6,628.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,755.52 / $3,305.86 / $5,359.80	Facility		$2,755.52	$3,305.86	$5,359.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,489.00 / $1,751.76 / $14,539.61	Professional		$1,489.00	$1,751.76	$14,539.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,503.52 / $3,773.58 / $7,474.18	Facility		$3,503.52	$3,773.58	$7,474.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,503.52 / $3,503.52 / $6,014.38	Professional		$3,503.52	$3,503.52	$6,014.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,979.05 / $7,034.19 / $8,020.73	Professional		$5,979.05	$7,034.19	$8,020.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,489.00 / $2,919.60	Professional		$1,226.23	$1,489.00	$2,919.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $2,919.60	Professional		$2,919.60	$2,919.60	$2,919.60