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 $1,445.44 / $1,698.24 / $3,162.28	Professional		$1,445.44	$1,698.24	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,548.13 / $4,466.84	Professional		$2,511.89	$3,548.13	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $4,265.80	Facility		$1,318.26	$2,041.74	$4,265.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $11,748.98	Professional		$1,479.11	$2,454.71	$11,748.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,630.78 / $3,890.45	Professional		$3,548.13	$3,630.78	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $3,162.28	Professional		$1,819.70	$2,630.27	$3,162.28
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 $1,548.82 / $2,511.89 / $4,168.69	Professional		$1,548.82	$2,511.89	$4,168.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,890.45 / $3,890.45	Professional		$3,162.28	$3,890.45	$3,890.45