Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $4,365.16	Facility		$1,778.28	$1,778.28	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $3,715.35	Professional		$1,621.81	$2,089.30	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,365.16 / $5,495.41	Professional		$3,162.28	$4,365.16	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $5,128.61	Facility		$1,621.81	$2,398.83	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,951.21 / $14,454.40	Professional		$1,778.28	$2,951.21	$14,454.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,365.16 / $4,786.30	Professional		$4,168.69	$4,365.16	$4,786.30
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 $2,041.74 / $3,162.28 / $3,890.45	Professional		$2,041.74	$3,162.28	$3,890.45
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 $1,862.09 / $3,019.95 / $5,128.61	Professional		$1,862.09	$3,019.95	$5,128.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,677.35 / $4,677.35	Professional		$3,890.45	$4,677.35	$4,677.35