Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $4,365.16	Facility		$1,659.59	$1,659.59	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $3,388.44	Professional		$1,479.11	$1,659.59	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $4,677.35	Professional		$2,818.38	$3,715.35	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $4,466.84	Facility		$2,089.30	$2,754.23	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,884.03 / $16,218.10	Professional		$1,513.56	$2,884.03	$16,218.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $3,801.89	Professional		$3,235.94	$3,801.89	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,801.89	Professional		$3,235.94	$3,235.94	$3,801.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $3,162.28	Professional		$2,041.74	$2,818.38	$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 $1,862.09 / $3,090.30 / $4,786.30	Professional		$1,862.09	$3,090.30	$4,786.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $3,890.45	Professional		$3,162.28	$3,715.35	$3,890.45