Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $4,365.16	Facility		$1,905.46	$1,905.46	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $3,388.44	Professional		$1,819.70	$2,041.74	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $5,623.41	Professional		$4,570.88	$4,570.88	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $5,495.41	Facility		$2,344.23	$2,754.23	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,548.13 / $15,135.61	Professional		$1,905.46	$3,548.13	$15,135.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,570.88 / $4,677.35	Professional		$4,466.84	$4,570.88	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,715.35 / $4,168.69	Professional		$2,454.71	$3,715.35	$4,168.69
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 $2,137.96 / $3,801.89 / $5,495.41	Professional		$2,137.96	$3,801.89	$5,495.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,897.79 / $5,128.61	Professional		$4,168.69	$4,897.79	$5,128.61