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 $1,737.80 / $1,905.46 / $2,818.38	Professional		$1,737.80	$1,905.46	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,265.80 / $5,370.32	Professional		$4,073.80	$4,265.80	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $4,897.79	Facility		$2,290.87	$2,691.53	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,388.44 / $24,547.09	Professional		$1,737.80	$3,388.44	$24,547.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,073.80 / $4,466.84	Professional		$3,890.45	$4,073.80	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $3,630.78	Professional		$2,511.89	$3,235.94	$3,630.78
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 $2,089.30 / $3,630.78 / $5,248.07	Professional		$2,089.30	$3,630.78	$5,248.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,265.80 / $4,466.84	Professional		$3,630.78	$4,265.80	$4,466.84