Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $4,365.16	Facility		$1,584.89	$1,584.89	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $3,235.94	Professional		$1,412.54	$1,584.89	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $4,570.88	Professional		$2,691.53	$3,630.78	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $4,265.80	Facility		$1,862.09	$2,570.40	$4,265.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,691.53 / $13,803.84	Professional		$1,445.44	$2,691.53	$13,803.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,630.78 / $3,630.78	Professional		$3,162.28	$3,630.78	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,548.13	Professional		$3,162.28	$3,162.28	$3,548.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $3,019.95	Professional		$1,819.70	$2,630.27	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,818.38 / $4,365.16	Professional		$1,737.80	$2,818.38	$4,365.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $3,630.78	Professional		$3,019.95	$3,548.13	$3,630.78