Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $4,365.16	Facility		$1,621.81	$1,621.81	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $2,089.30	Professional		$1,513.56	$1,737.80	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,786.30	Professional		$3,801.89	$3,801.89	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $4,168.69	Facility		$1,995.26	$2,754.23	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,951.21 / $12,589.25	Professional		$1,584.89	$2,951.21	$12,589.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,801.89 / $3,890.45	Professional		$3,388.44	$3,801.89	$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 $1,778.28 / $3,019.95 / $3,548.13	Professional		$1,778.28	$3,019.95	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,235.94 / $4,570.88	Professional		$1,819.70	$3,235.94	$4,570.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $4,365.16	Professional		$3,548.13	$4,168.69	$4,365.16