Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $4,365.16	Facility		$2,630.27	$2,630.27	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,630.27 / $5,370.32	Professional		$2,398.83	$2,630.27	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $6,025.60 / $7,585.78	Professional		$4,365.16	$6,025.60	$7,585.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $6,025.60	Facility		$3,467.37	$4,365.16	$6,025.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,715.35 / $19,498.45	Professional		$2,454.71	$3,715.35	$19,498.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $6,025.60 / $6,025.60	Professional		$4,365.16	$6,025.60	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,786.30	Professional		$4,365.16	$4,365.16	$4,786.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,890.45 / $5,248.07	Professional		$3,090.30	$3,890.45	$5,248.07
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 $2,570.40 / $4,265.80 / $6,918.31	Professional		$2,570.40	$4,265.80	$6,918.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,165.95 / $6,309.57	Professional		$5,128.61	$6,165.95	$6,309.57