Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $4,365.16	Facility		$1,995.26	$1,995.26	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,089.30 / $3,715.35	Professional		$1,862.09	$2,089.30	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,570.88 / $5,754.40	Professional		$3,467.37	$4,570.88	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $5,495.41	Facility		$2,454.71	$3,235.94	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,311.31 / $15,488.17	Professional		$1,905.46	$3,311.31	$15,488.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,677.35 / $4,677.35	Professional		$4,570.88	$4,677.35	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,570.88	Professional		$4,365.16	$4,365.16	$4,570.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,630.78 / $4,168.69	Professional		$2,344.23	$3,630.78	$4,168.69
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 $2,137.96 / $3,630.78 / $5,754.40	Professional		$2,137.96	$3,630.78	$5,754.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,897.79 / $5,128.61	Professional		$4,168.69	$4,897.79	$5,128.61