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 $1,380.38 / $1,548.82 / $3,019.95	Professional		$1,380.38	$1,548.82	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,467.37 / $4,265.80	Professional		$2,570.40	$3,467.37	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $4,073.80	Facility		$1,905.46	$2,454.71	$4,073.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,511.89 / $11,220.18	Professional		$1,412.54	$2,511.89	$11,220.18
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 $1,698.24 / $2,691.53 / $3,162.28	Professional		$1,698.24	$2,691.53	$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 / $2,691.53 / $4,168.69	Professional		$1,621.81	$2,691.53	$4,168.69
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