Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $4,365.16	Facility		$1,737.80	$1,737.80	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $1,949.84	Professional		$1,621.81	$1,819.70	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $5,011.87	Professional		$4,073.80	$4,073.80	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $4,897.79	Facility		$2,089.30	$2,511.89	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,162.28 / $13,489.63	Professional		$1,698.24	$3,162.28	$13,489.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,073.80 / $4,168.69	Professional		$3,630.78	$4,073.80	$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 $2,187.76 / $3,311.31 / $3,715.35	Professional		$2,187.76	$3,311.31	$3,715.35
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 / $3,388.44 / $4,897.79	Professional		$1,949.84	$3,388.44	$4,897.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $4,570.88	Professional		$3,715.35	$4,365.16	$4,570.88