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 $1,621.81 / $1,862.09 / $3,467.37	Professional		$1,621.81	$1,862.09	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,073.80 / $5,011.87	Professional		$2,884.03	$4,073.80	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $4,786.30	Facility		$1,479.11	$2,344.23	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $13,182.57	Professional		$1,659.59	$2,754.23	$13,182.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,265.80 / $4,365.16	Professional		$3,890.45	$4,265.80	$4,365.16
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 $2,089.30 / $2,884.03 / $3,467.37	Professional		$2,089.30	$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 $1,698.24 / $2,884.03 / $4,786.30	Professional		$1,698.24	$2,884.03	$4,786.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,168.69 / $4,168.69	Professional		$3,388.44	$4,168.69	$4,168.69