Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $4,365.16	Facility		$1,995.26	$1,995.26	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,995.26 / $4,073.80	Professional		$1,778.28	$1,995.26	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,570.88 / $5,754.40	Professional		$3,467.37	$4,570.88	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,311.31 / $4,786.30	Facility		$2,398.83	$3,311.31	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,951.21 / $29,512.09	Professional		$1,819.70	$2,951.21	$29,512.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,677.35 / $4,677.35	Professional		$3,715.35	$4,677.35	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,890.45	Professional		$3,715.35	$3,715.35	$3,890.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,162.28 / $3,890.45	Professional		$1,995.26	$3,162.28	$3,890.45
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 $1,905.46 / $3,467.37 / $5,370.32	Professional		$1,905.46	$3,467.37	$5,370.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,570.88 / $4,786.30	Professional		$3,890.45	$4,570.88	$4,786.30