Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,288.90 / $2,288.90 / $2,288.90	Facility		$2,288.90	$2,288.90	$2,288.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,631.45 / $1,899.30 / $2,288.90	Professional		$1,631.45	$1,899.30	$2,288.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,497.59 / $4,422.72 / $5,528.40	Professional		$3,497.59	$4,422.72	$5,528.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,298.15 / $2,757.15 / $4,470.17	Facility		$2,298.15	$2,757.15	$4,470.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,241.84 / $1,461.00 / $12,126.30	Professional		$1,241.84	$1,461.00	$12,126.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,922.00 / $3,165.50 / $7,603.73	Facility		$2,922.00	$3,165.50	$7,603.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,922.00 / $2,922.00 / $7,603.73	Professional		$2,922.00	$2,922.00	$7,603.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,986.64 / $5,866.65 / $6,689.43	Professional		$4,986.64	$5,866.65	$6,689.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,022.70 / $1,241.84 / $2,435.00	Professional		$1,022.70	$1,241.84	$2,435.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,435.00 / $2,435.00 / $2,435.00	Professional		$2,435.00	$2,435.00	$2,435.00