Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $4,365.16	Facility		$1,778.28	$1,778.28	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $3,715.35	Professional		$1,659.59	$1,819.70	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,168.69 / $5,128.61	Professional		$3,090.30	$4,168.69	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,090.30 / $5,128.61	Facility		$2,137.96	$3,090.30	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $18,197.01	Professional		$1,659.59	$3,090.30	$18,197.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,073.80 / $4,073.80	Professional		$3,801.89	$4,073.80	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,073.80	Professional		$3,801.89	$3,801.89	$4,073.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $3,548.13	Professional		$2,089.30	$3,019.95	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,235.94 / $5,011.87	Professional		$2,041.74	$3,235.94	$5,011.87
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