Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $4,365.16	Facility		$1,412.54	$1,412.54	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $1,995.26	Professional		$1,318.26	$1,513.56	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $4,168.69	Professional		$3,311.31	$3,311.31	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $3,981.07	Facility		$1,737.80	$1,995.26	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,570.40 / $10,964.78	Professional		$1,380.38	$2,570.40	$10,964.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,388.44 / $3,467.37	Professional		$3,235.94	$3,388.44	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $3,090.30	Professional		$1,778.28	$2,691.53	$3,090.30
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 $1,584.89 / $2,818.38 / $4,073.80	Professional		$1,584.89	$2,818.38	$4,073.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $3,801.89	Professional		$3,090.30	$3,630.78	$3,801.89