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 $1,995.26 / $2,290.87 / $4,073.80	Professional		$1,995.26	$2,290.87	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,011.87 / $6,309.57	Professional		$3,548.13	$5,011.87	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $5,754.40	Facility		$1,862.09	$2,630.27	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,548.13 / $16,218.10	Professional		$2,089.30	$3,548.13	$16,218.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,011.87 / $5,370.32	Professional		$4,677.35	$5,011.87	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,548.13 / $4,168.69	Professional		$2,511.89	$3,548.13	$4,168.69
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 $2,089.30 / $3,467.37 / $5,888.44	Professional		$2,089.30	$3,467.37	$5,888.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $5,128.61	Professional		$4,168.69	$5,128.61	$5,128.61