Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,365.16 / $4,897.79	Facility		$1,621.81	$4,365.16	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $1,862.09	Professional		$1,445.44	$1,698.24	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,548.13 / $4,466.84	Professional		$3,388.44	$3,548.13	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $3,801.89	Facility		$1,737.80	$2,041.74	$3,801.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,691.53 / $11,481.54	Professional		$1,445.44	$2,691.53	$11,481.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,311.31 / $3,388.44	Professional		$3,019.95	$3,311.31	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $3,019.95	Professional		$1,995.26	$2,570.40	$3,019.95
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 $1,621.81 / $2,818.38 / $4,168.69	Professional		$1,621.81	$2,818.38	$4,168.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $3,548.13	Professional		$2,884.03	$3,388.44	$3,548.13