Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $4,365.16	Facility		$1,949.84	$1,949.84	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $4,073.80	Professional		$1,905.46	$2,238.72	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,786.30 / $6,025.60	Professional		$3,388.44	$4,786.30	$6,025.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,754.23 / $5,623.41	Facility		$1,778.28	$2,754.23	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $15,848.93	Professional		$1,949.84	$3,235.94	$15,848.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $5,248.07	Professional		$4,786.30	$4,786.30	$5,248.07
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 $2,344.23 / $3,548.13 / $4,265.80	Professional		$2,344.23	$3,548.13	$4,265.80
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 $2,041.74 / $3,388.44 / $5,623.41	Professional		$2,041.74	$3,388.44	$5,623.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $5,128.61	Professional		$4,168.69	$5,128.61	$5,128.61