Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $4,365.16	Facility		$1,862.09	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $2,290.87	Professional		$1,621.81	$1,949.84	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,073.80 / $5,128.61	Professional		$3,890.45	$4,073.80	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $4,466.84	Facility		$1,995.26	$2,511.89	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,090.30 / $12,882.50	Professional		$1,621.81	$3,090.30	$12,882.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,801.89 / $3,981.07	Professional		$3,548.13	$3,801.89	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,884.03 / $3,388.44	Professional		$1,949.84	$2,884.03	$3,388.44
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 $1,949.84 / $3,388.44 / $4,786.30	Professional		$1,949.84	$3,388.44	$4,786.30
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