Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $5,623.41	Facility		$2,137.96	$4,365.16	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,187.76 / $4,466.84	Professional		$1,995.26	$2,187.76	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,011.87 / $6,165.95	Professional		$3,715.35	$5,011.87	$6,165.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $5,754.40	Facility		$2,818.38	$3,630.78	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,630.78 / $21,379.62	Professional		$1,995.26	$3,630.78	$21,379.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,011.87 / $5,011.87	Professional		$4,570.88	$5,011.87	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,786.30	Professional		$4,570.88	$4,570.88	$4,786.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,630.78 / $4,265.80	Professional		$2,570.40	$3,630.78	$4,265.80
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 $2,344.23 / $3,890.45 / $6,025.60	Professional		$2,344.23	$3,890.45	$6,025.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,011.87 / $5,248.07	Professional		$4,265.80	$5,011.87	$5,248.07