Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $4,365.16	Facility		$1,819.70	$1,819.70	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $2,691.53	Professional		$1,737.80	$1,819.70	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,265.80 / $5,370.32	Professional		$4,073.80	$4,265.80	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $5,128.61	Facility		$2,238.72	$2,630.27	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,388.44 / $14,125.38	Professional		$1,737.80	$3,388.44	$14,125.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,073.80 / $4,365.16	Professional		$3,890.45	$4,073.80	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $3,630.78	Professional		$2,238.72	$3,235.94	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,630.78 / $5,248.07	Professional		$2,089.30	$3,630.78	$5,248.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $4,365.16	Professional		$3,548.13	$4,168.69	$4,365.16