Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,365.16 / $4,897.79	Facility		$2,511.89	$4,365.16	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,511.89 / $3,981.07	Professional		$2,187.76	$2,511.89	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,025.60 / $7,413.10	Professional		$5,370.32	$6,025.60	$7,413.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,981.07 / $6,760.83	Facility		$2,398.83	$3,981.07	$6,760.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,677.35 / $22,387.21	Professional		$2,398.83	$4,677.35	$22,387.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $6,025.60 / $6,025.60	Professional		$3,715.35	$6,025.60	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,981.07 / $7,079.46	Professional		$2,398.83	$3,981.07	$7,079.46
Wellmark 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