Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,911.12 / $4,911.12 / $4,911.12	Facility		$4,911.12	$4,911.12	$4,911.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,075.19 / $4,075.19 / $4,911.12	Professional		$4,075.19	$4,075.19	$4,911.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,504.73 / $9,489.75 / $11,862.19	Professional		$7,504.73	$9,489.75	$11,862.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,930.97 / $5,915.81 / $9,591.32	Facility		$4,930.97	$5,915.81	$9,591.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,664.55 / $3,134.76 / $10,282.01	Professional		$2,664.55	$3,134.76	$10,282.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,269.52 / $6,791.98 / $11,450.16	Facility		$6,269.52	$6,791.98	$11,450.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,269.52 / $7,941.39 / $10,762.68	Professional		$6,269.52	$7,941.39	$10,762.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7,471.18 / $12,587.63 / $14,353.02	Professional		$7,471.18	$12,587.63	$14,353.02
United Facility/Professional Professional Modifier Low / Median / High Price $2,194.33 / $2,664.55 / $5,224.60	Professional		$2,194.33	$2,664.55	$5,224.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,224.60 / $5,224.60 / $5,224.60	Professional		$5,224.60	$5,224.60	$5,224.60