Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,365.16 / $4,897.79	Facility		$1,737.80	$4,365.16	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $3,090.30	Professional		$1,548.82	$1,737.80	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,981.07 / $5,011.87	Professional		$3,019.95	$3,981.07	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,754.23 / $4,677.35	Facility		$1,621.81	$2,754.23	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,884.03 / $12,882.50	Professional		$1,445.44	$2,884.03	$12,882.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,981.07 / $3,981.07	Professional		$3,630.78	$3,981.07	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,801.89	Professional		$3,630.78	$3,630.78	$3,801.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,951.21 / $3,467.37	Professional		$1,047.13	$2,951.21	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
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 $3,467.37 / $4,073.80 / $4,168.69	Professional		$3,467.37	$4,073.80	$4,168.69