Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $4,365.16	Facility		$2,238.72	$2,238.72	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,290.87 / $4,677.35	Professional		$2,089.30	$2,290.87	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,248.07 / $6,456.54	Professional		$3,890.45	$5,248.07	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,801.89 / $5,754.40	Facility		$3,019.95	$3,801.89	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,801.89 / $21,379.62	Professional		$2,089.30	$3,801.89	$21,379.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,248.07 / $5,248.07	Professional		$4,786.30	$5,248.07	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $5,011.87	Professional		$4,786.30	$4,786.30	$5,011.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,801.89 / $4,466.84	Professional		$2,691.53	$3,801.89	$4,466.84
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 $2,454.71 / $4,073.80 / $6,456.54	Professional		$2,454.71	$4,073.80	$6,456.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $5,495.41	Professional		$4,466.84	$5,248.07	$5,495.41