Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $4,365.16	Facility		$2,570.40	$2,570.40	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $5,370.32	Professional		$2,344.23	$2,570.40	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,888.44 / $7,413.10	Professional		$4,466.84	$5,888.44	$7,413.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,365.16 / $6,606.93	Facility		$3,388.44	$4,365.16	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,365.16 / $27,542.29	Professional		$2,398.83	$4,365.16	$27,542.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,025.60 / $6,025.60	Professional		$5,248.07	$6,025.60	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,754.40	Professional		$5,248.07	$5,248.07	$5,754.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,265.80 / $5,011.87	Professional		$3,019.95	$4,265.80	$5,011.87
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 $2,818.38 / $4,570.88 / $7,244.36	Professional		$2,818.38	$4,570.88	$7,244.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,888.44 / $6,025.60	Professional		$5,011.87	$5,888.44	$6,025.60