Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,960.34 / $1,960.34 / $1,960.34	Professional		$1,960.34	$1,960.34	$1,960.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,888.11 / $3,015.90 / $5,706.29	Professional		$2,888.11	$3,015.90	$5,706.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,845.76 / $2,845.76 / $7,863.57	Facility		$2,845.76	$2,845.76	$7,863.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,281.76 / $2,261.92 / $13,612.50	Professional		$1,281.76	$2,261.92	$13,612.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,015.90 / $3,267.23 / $12,672.00	Facility		$3,015.90	$3,267.23	$12,672.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,015.90 / $3,243.18 / $9,741.60	Professional		$3,015.90	$3,243.18	$9,741.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,146.88 / $6,055.17 / $12,941.78	Professional		$5,146.88	$6,055.17	$12,941.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.57 / $1,507.95 / $3,769.88	Professional		$1,055.57	$1,507.95	$3,769.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,513.25 / $2,513.25 / $2,513.25	Professional		$2,513.25	$2,513.25	$2,513.25