Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $4,365.16	Facility		$1,584.89	$1,584.89	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $2,630.27	Professional		$1,584.89	$1,819.70	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,981.07 / $5,011.87	Professional		$3,801.89	$3,981.07	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $4,677.35	Facility		$2,089.30	$2,454.71	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,162.28 / $13,182.57	Professional		$1,621.81	$3,162.28	$13,182.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,801.89 / $4,168.69	Professional		$3,630.78	$3,801.89	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $3,388.44	Professional		$2,344.23	$2,951.21	$3,388.44
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 $1,949.84 / $3,311.31 / $4,897.79	Professional		$1,949.84	$3,311.31	$4,897.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $4,073.80	Professional		$3,311.31	$3,890.45	$4,073.80