Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $4,365.16	Facility		$1,659.59	$3,090.30	$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 / $3,801.89 / $4,677.35	Professional		$2,818.38	$3,801.89	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $4,265.80	Facility		$2,137.96	$2,754.23	$4,265.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,691.53 / $12,022.64	Professional		$1,479.11	$2,691.53	$12,022.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,630.78 / $3,630.78	Professional		$3,311.31	$3,630.78	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,630.78	Professional		$3,311.31	$3,311.31	$3,630.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,754.23 / $3,235.94	Professional		$1,778.28	$2,754.23	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,951.21 / $4,570.88	Professional		$1,737.80	$2,951.21	$4,570.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $3,890.45	Professional		$3,162.28	$3,801.89	$3,890.45