Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $4,365.16	Facility		$1,659.59	$1,659.59	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $3,548.13	Professional		$1,659.59	$1,862.09	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,073.80 / $5,128.61	Professional		$2,884.03	$4,073.80	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $5,011.87	Facility		$1,513.56	$2,454.71	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,884.03 / $13,489.63	Professional		$1,737.80	$2,884.03	$13,489.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,265.80 / $4,466.84	Professional		$3,890.45	$4,265.80	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $3,467.37	Professional		$2,137.96	$2,884.03	$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 $1,737.80 / $2,884.03 / $4,897.79	Professional		$1,737.80	$2,884.03	$4,897.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,265.80 / $4,265.80	Professional		$3,467.37	$4,265.80	$4,265.80