Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $4,365.16	Facility		$1,737.80	$1,737.80	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,570.40	Professional		$1,548.82	$1,949.84	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,786.30	Professional		$3,801.89	$3,801.89	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $4,677.35	Facility		$2,041.74	$2,630.27	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $15,135.61	Professional		$1,584.89	$3,090.30	$15,135.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,890.45 / $3,981.07	Professional		$3,715.35	$3,890.45	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $3,467.37	Professional		$2,187.76	$3,019.95	$3,467.37
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 $1,905.46 / $3,235.94 / $4,786.30	Professional		$1,905.46	$3,235.94	$4,786.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $3,981.07	Professional		$3,311.31	$3,890.45	$3,981.07