Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $4,365.16	Facility		$1,445.44	$1,445.44	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $1,862.09	Professional		$1,348.96	$1,548.82	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $4,265.80	Professional		$3,388.44	$3,388.44	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $4,073.80	Facility		$1,778.28	$2,089.30	$4,073.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,630.27 / $12,589.25	Professional		$1,412.54	$2,630.27	$12,589.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,388.44 / $3,548.13	Professional		$3,311.31	$3,388.44	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,754.23 / $3,162.28	Professional		$1,584.89	$2,754.23	$3,162.28
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 / $2,884.03 / $4,073.80	Professional		$1,621.81	$2,884.03	$4,073.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $3,801.89	Professional		$3,162.28	$3,715.35	$3,801.89