Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $4,365.16	Facility		$1,621.81	$1,621.81	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $3,388.44	Professional		$1,479.11	$1,621.81	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,801.89 / $4,677.35	Professional		$2,818.38	$3,801.89	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $4,466.84	Facility		$1,995.26	$2,691.53	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,754.23 / $14,454.40	Professional		$1,513.56	$2,754.23	$14,454.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,801.89 / $3,801.89	Professional		$3,388.44	$3,801.89	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,715.35	Professional		$3,388.44	$3,388.44	$3,715.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,754.23 / $3,162.28	Professional		$1,698.24	$2,754.23	$3,162.28
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 $1,819.70 / $2,951.21 / $4,570.88	Professional		$1,819.70	$2,951.21	$4,570.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $3,801.89	Professional		$3,090.30	$3,630.78	$3,801.89