Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,365.16 / $6,918.31	Facility		$1,584.89	$4,365.16	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $3,235.94	Professional		$1,445.44	$1,621.81	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,715.35 / $4,570.88	Professional		$2,754.23	$3,715.35	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $4,168.69	Facility		$1,905.46	$2,691.53	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,691.53 / $23,988.33	Professional		$1,479.11	$2,691.53	$23,988.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,715.35 / $3,715.35	Professional		$3,311.31	$3,715.35	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,548.13	Professional		$3,311.31	$3,311.31	$3,548.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $3,090.30	Professional		$1,737.80	$2,630.27	$3,090.30
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 $1,737.80 / $2,884.03 / $4,466.84	Professional		$1,737.80	$2,884.03	$4,466.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $3,801.89	Professional		$3,090.30	$3,630.78	$3,801.89