Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $4,365.16	Facility		$1,778.28	$1,778.28	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $2,454.71	Professional		$1,659.59	$1,905.46	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,168.69 / $5,248.07	Professional		$3,981.07	$4,168.69	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $5,011.87	Facility		$1,995.26	$2,454.71	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $13,803.84	Professional		$1,737.80	$3,235.94	$13,803.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,801.89 / $4,265.80	Professional		$3,311.31	$3,801.89	$4,265.80
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 $2,089.30 / $3,388.44 / $3,890.45	Professional		$2,089.30	$3,388.44	$3,890.45
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 $1,995.26 / $3,467.37 / $5,011.87	Professional		$1,995.26	$3,467.37	$5,011.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,570.88 / $4,677.35	Professional		$3,890.45	$4,570.88	$4,677.35