Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $4,365.16	Facility		$1,548.82	$1,548.82	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $2,951.21	Professional		$1,445.44	$1,621.81	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $4,466.84	Professional		$2,691.53	$3,630.78	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $3,890.45	Facility		$1,995.26	$2,570.40	$3,890.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $12,022.64	Professional		$1,479.11	$2,454.71	$12,022.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $3,548.13	Professional		$3,162.28	$3,548.13	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,235.94	Professional		$3,162.28	$3,162.28	$3,235.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $3,311.31	Professional		$1,778.28	$2,570.40	$3,311.31
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 / $4,265.80	Professional		$1,584.89	$2,818.38	$4,265.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $4,073.80	Professional		$3,311.31	$3,890.45	$4,073.80