Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,365.16 / $4,897.79	Facility		$1,548.82	$4,365.16	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $2,691.53	Professional		$1,318.26	$1,548.82	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,548.13 / $4,466.84	Professional		$2,630.27	$3,548.13	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $3,890.45	Facility		$1,862.09	$2,454.71	$3,890.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,454.71 / $11,481.54	Professional		$1,348.96	$2,454.71	$11,481.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,388.44 / $3,388.44	Professional		$3,162.28	$3,388.44	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,235.94	Professional		$3,162.28	$3,162.28	$3,235.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,570.40 / $3,019.95	Professional		$1,445.44	$2,570.40	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,691.53 / $4,168.69	Professional		$1,584.89	$2,691.53	$4,168.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $3,630.78	Professional		$3,019.95	$3,548.13	$3,630.78