Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $4,897.79	Facility		$1,778.28	$4,365.16	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $2,041.74	Professional		$1,548.82	$1,862.09	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,890.45 / $4,897.79	Professional		$3,630.78	$3,890.45	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $4,168.69	Facility		$1,949.84	$2,238.72	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,019.95 / $12,589.25	Professional		$1,584.89	$3,019.95	$12,589.25
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 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $3,235.94	Professional		$2,187.76	$2,754.23	$3,235.94
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 $1,778.28 / $3,090.30 / $4,570.88	Professional		$1,778.28	$3,090.30	$4,570.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $3,801.89	Professional		$3,090.30	$3,630.78	$3,801.89