Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $4,365.16	Facility		$1,949.84	$1,949.84	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $3,981.07	Professional		$1,737.80	$1,949.84	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,466.84 / $5,495.41	Professional		$3,311.31	$4,466.84	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $5,754.40	Facility		$2,570.40	$3,235.94	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,162.28 / $19,498.45	Professional		$1,778.28	$3,162.28	$19,498.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,466.84 / $4,466.84	Professional		$4,073.80	$4,466.84	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,168.69	Professional		$4,073.80	$4,073.80	$4,168.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,235.94 / $3,801.89	Professional		$2,344.23	$3,235.94	$3,801.89
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 $2,041.74 / $3,467.37 / $5,370.32	Professional		$2,041.74	$3,467.37	$5,370.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $4,570.88	Professional		$3,715.35	$4,365.16	$4,570.88