Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $4,365.16	Facility		$2,691.53	$2,691.53	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $5,011.87	Professional		$2,344.23	$2,754.23	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,309.57 / $7,762.47	Professional		$4,677.35	$6,309.57	$7,762.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,570.88 / $6,309.57	Facility		$3,311.31	$4,570.88	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,570.88 / $20,892.96	Professional		$2,454.71	$4,570.88	$20,892.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,309.57 / $6,309.57	Professional		$4,677.35	$6,309.57	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $6,025.60	Professional		$4,677.35	$4,677.35	$6,025.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,466.84 / $5,495.41	Professional		$2,630.27	$4,466.84	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,897.79 / $7,585.78	Professional		$2,951.21	$4,897.79	$7,585.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,309.57 / $6,606.93	Professional		$5,370.32	$6,309.57	$6,606.93