Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $4,365.16	Facility		$1,288.25	$1,288.25	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $3,019.95	Professional		$1,288.25	$1,513.56	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,162.28 / $3,981.07	Professional		$2,238.72	$3,162.28	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $3,890.45	Facility		$1,174.90	$1,995.26	$3,890.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,238.72 / $10,715.19	Professional		$1,412.54	$2,238.72	$10,715.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,311.31 / $3,467.37	Professional		$3,235.94	$3,311.31	$3,467.37
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 $1,819.70 / $2,398.83 / $2,818.38	Professional		$1,819.70	$2,398.83	$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 $1,445.44 / $2,290.87 / $3,801.89	Professional		$1,445.44	$2,290.87	$3,801.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,467.37 / $3,467.37	Professional		$2,818.38	$3,467.37	$3,467.37