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 / $1,659.59 / $2,344.23	Professional		$1,445.44	$1,659.59	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,630.78 / $4,570.88	Professional		$3,467.37	$3,630.78	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,187.76 / $4,265.80	Facility		$1,905.46	$2,187.76	$4,265.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,884.03 / $12,022.64	Professional		$1,479.11	$2,884.03	$12,022.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,467.37 / $3,801.89	Professional		$3,311.31	$3,467.37	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $3,090.30	Professional		$2,089.30	$2,754.23	$3,090.30
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 $1,778.28 / $3,090.30 / $4,466.84	Professional		$1,778.28	$3,090.30	$4,466.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $3,715.35	Professional		$3,019.95	$3,548.13	$3,715.35