Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $4,365.16	Facility		$1,348.96	$1,348.96	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $3,090.30	Professional		$1,348.96	$1,584.89	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $4,073.80	Professional		$2,344.23	$3,311.31	$4,073.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $4,265.80	Facility		$1,230.27	$2,089.30	$4,265.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $10,964.78	Professional		$1,698.24	$2,344.23	$10,964.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,467.37 / $3,630.78	Professional		$3,311.31	$3,467.37	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $2,951.21	Professional		$1,905.46	$2,570.40	$2,951.21
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 $1,698.24 / $2,511.89 / $3,981.07	Professional		$1,698.24	$2,511.89	$3,981.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,630.78 / $3,630.78	Professional		$2,951.21	$3,630.78	$3,630.78