Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,473.83 / $3,857.07 / $3,857.07	Professional		$2,473.83	$3,857.07	$3,857.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,709.52 / $2,981.62 / $3,727.02	Professional		$2,709.52	$2,981.62	$3,727.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,733.76 / $2,224.83 / $3,515.45	Facility		$1,733.76	$2,224.83	$3,515.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,294.36 / $2,733.65 / $10,836.20	Professional		$1,294.36	$2,733.65	$10,836.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,018.05 / $3,031.14 / $4,145.27	Facility		$2,018.05	$3,031.14	$4,145.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,018.05 / $2,692.26 / $3,602.97	Professional		$2,018.05	$2,692.26	$3,602.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,656.86 / $2,253.50 / $2,633.53	Professional		$1,656.86	$2,253.50	$2,633.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,294.36 / $2,357.91 / $3,667.86	Professional		$1,294.36	$2,357.91	$3,667.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,612.60 / $3,196.50 / $3,196.50	Professional		$2,612.60	$3,196.50	$3,196.50