Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $4,365.16	Facility		$2,041.74	$2,041.74	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,949.84 / $3,019.95	Professional		$1,778.28	$1,949.84	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,897.79 / $6,165.95	Professional		$4,786.30	$4,897.79	$6,165.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $5,623.41	Facility		$2,570.40	$3,388.44	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,890.45 / $24,547.09	Professional		$1,995.26	$3,890.45	$24,547.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,786.30 / $5,011.87	Professional		$4,570.88	$4,786.30	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,715.35 / $4,265.80	Professional		$2,630.27	$3,715.35	$4,265.80
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 $2,344.23 / $4,073.80 / $6,025.60	Professional		$2,344.23	$4,073.80	$6,025.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,570.88 / $4,786.30	Professional		$3,890.45	$4,570.88	$4,786.30