Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $4,365.16	Facility		$2,089.30	$2,089.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $2,754.23	Professional		$1,862.09	$2,238.72	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,570.88 / $5,754.40	Professional		$4,365.16	$4,570.88	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $5,370.32	Facility		$1,995.26	$2,884.03	$5,370.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,548.13 / $14,791.08	Professional		$1,862.09	$3,548.13	$14,791.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,365.16 / $4,677.35	Professional		$4,168.69	$4,365.16	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,388.44 / $3,890.45	Professional		$2,344.23	$3,388.44	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,801.89 / $5,623.41	Professional		$2,238.72	$3,801.89	$5,623.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $4,570.88	Professional		$3,715.35	$4,365.16	$4,570.88