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 $1,412.54 / $1,621.81 / $2,951.21	Professional		$1,412.54	$1,621.81	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,467.37 / $4,365.16	Professional		$2,511.89	$3,467.37	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $4,168.69	Facility		$1,288.25	$2,041.74	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,511.89 / $11,481.54	Professional		$1,445.44	$2,511.89	$11,481.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,630.78 / $3,801.89	Professional		$3,388.44	$3,630.78	$3,801.89
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 $1,819.70 / $2,454.71 / $2,951.21	Professional		$1,819.70	$2,454.71	$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 $1,479.11 / $2,511.89 / $4,073.80	Professional		$1,479.11	$2,511.89	$4,073.80
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