Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $4,365.16	Facility		$1,445.44	$1,445.44	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,089.30	Professional		$1,288.25	$1,584.89	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,981.07	Professional		$3,162.28	$3,162.28	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $3,890.45	Facility		$1,698.24	$1,995.26	$3,890.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $10,715.19	Professional		$1,288.25	$2,511.89	$10,715.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,162.28 / $3,311.31	Professional		$3,090.30	$3,162.28	$3,311.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $2,818.38	Professional		$1,778.28	$2,511.89	$2,818.38
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 $1,548.82 / $2,691.53 / $3,890.45	Professional		$1,548.82	$2,691.53	$3,890.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $3,311.31	Professional		$2,691.53	$3,162.28	$3,311.31