Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $4,365.16	Facility		$1,819.70	$1,819.70	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $3,715.35	Professional		$1,621.81	$1,819.70	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,168.69 / $5,128.61	Professional		$3,090.30	$4,168.69	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $5,370.32	Facility		$2,398.83	$3,019.95	$5,370.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,235.94 / $18,197.01	Professional		$1,698.24	$3,235.94	$18,197.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,168.69 / $4,168.69	Professional		$3,801.89	$4,168.69	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,466.84	Professional		$3,801.89	$3,801.89	$4,466.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,090.30 / $3,467.37	Professional		$1,949.84	$3,090.30	$3,467.37
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 $2,089.30 / $3,467.37 / $5,623.41	Professional		$2,089.30	$3,467.37	$5,623.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $4,265.80	Professional		$3,467.37	$4,073.80	$4,265.80