Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $4,365.16	Facility		$2,951.21	$2,951.21	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,090.30 / $3,715.35	Professional		$2,570.40	$3,090.30	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,456.54 / $7,943.28	Professional		$6,025.60	$6,456.54	$7,943.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,715.35 / $7,413.10	Facility		$2,630.27	$3,715.35	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $5,011.87 / $20,892.96	Professional		$2,570.40	$5,011.87	$20,892.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $6,025.60 / $6,606.93	Professional		$5,888.44	$6,025.60	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,786.30 / $5,370.32	Professional		$3,235.94	$4,786.30	$5,370.32
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 $3,162.28 / $5,495.41 / $7,762.47	Professional		$3,162.28	$5,495.41	$7,762.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $6,309.57	Professional		$5,128.61	$6,025.60	$6,309.57