Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $4,365.16	Facility		$1,737.80	$1,737.80	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $3,630.78	Professional		$1,621.81	$1,862.09	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,073.80 / $5,128.61	Professional		$3,090.30	$4,073.80	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,951.21 / $4,897.79	Facility		$2,137.96	$2,951.21	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,019.95 / $13,489.63	Professional		$1,698.24	$3,019.95	$13,489.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,073.80 / $4,265.80	Professional		$3,981.07	$4,073.80	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,235.94 / $3,801.89	Professional		$2,187.76	$3,235.94	$3,801.89
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 $1,949.84 / $3,235.94 / $4,897.79	Professional		$1,949.84	$3,235.94	$4,897.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $4,570.88	Professional		$3,715.35	$4,365.16	$4,570.88