Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $4,365.16	Facility		$1,548.82	$1,548.82	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $2,089.30	Professional		$1,445.44	$1,659.59	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,570.88	Professional		$3,630.78	$3,630.78	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,137.96 / $4,365.16	Facility		$1,905.46	$2,137.96	$4,365.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,818.38 / $14,454.40	Professional		$1,513.56	$2,818.38	$14,454.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,630.78 / $3,801.89	Professional		$3,388.44	$3,630.78	$3,801.89
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 $1,905.46 / $2,951.21 / $3,388.44	Professional		$1,905.46	$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 $1,621.81 / $2,951.21 / $4,265.80	Professional		$1,621.81	$2,951.21	$4,265.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $4,073.80	Professional		$3,388.44	$3,981.07	$4,073.80