Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $4,365.16	Facility		$2,041.74	$2,041.74	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $4,365.16	Professional		$1,905.46	$2,398.83	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,011.87 / $6,309.57	Professional		$3,548.13	$5,011.87	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,884.03 / $5,495.41	Facility		$1,862.09	$2,884.03	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,467.37 / $16,595.87	Professional		$2,041.74	$3,467.37	$16,595.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,128.61 / $5,495.41	Professional		$4,786.30	$5,128.61	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $4,466.84	Professional		$2,454.71	$3,467.37	$4,466.84
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 $2,137.96 / $3,467.37 / $5,888.44	Professional		$2,137.96	$3,467.37	$5,888.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,495.41 / $5,495.41	Professional		$4,466.84	$5,495.41	$5,495.41