Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $4,365.16	Facility		$1,698.24	$1,698.24	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,698.24 / $2,511.89	Professional		$1,621.81	$1,698.24	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,981.07 / $5,011.87	Professional		$3,801.89	$3,981.07	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $4,677.35	Facility		$2,041.74	$2,398.83	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,090.30 / $14,125.38	Professional		$1,621.81	$3,090.30	$14,125.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,801.89 / $4,073.80	Professional		$3,630.78	$3,801.89	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,951.21 / $3,388.44	Professional		$2,137.96	$2,951.21	$3,388.44
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 / $3,388.44 / $4,786.30	Professional		$1,949.84	$3,388.44	$4,786.30
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