Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.29 / $1,590.29 / $1,590.29	Facility		$1,590.29	$1,590.29	$1,590.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,338.30 / $1,590.29 / $3,863.75	Professional		$1,338.30	$1,590.29	$3,863.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,762.68 / $3,596.33 / $4,495.41	Professional		$2,762.68	$3,596.33	$4,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,096.44 / $2,687.59 / $4,257.01	Facility		$2,096.44	$2,687.59	$4,257.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,512.02 / $3,268.10 / $14,468.63	Professional		$1,512.02	$3,268.10	$14,468.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,416.00 / $3,662.98 / $5,018.12	Facility		$2,416.00	$3,662.98	$5,018.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,416.00 / $3,394.08 / $4,358.39	Professional		$2,416.00	$3,394.08	$4,358.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,998.29 / $2,728.68 / $3,182.10	Professional		$1,998.29	$2,728.68	$3,182.10
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.02 / $2,853.41 / $4,438.64	Professional		$1,512.02	$2,853.41	$4,438.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,156.80 / $3,862.40 / $3,862.40	Professional		$3,156.80	$3,862.40	$3,862.40