Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,365.16	Facility		$4,265.80	$4,265.80	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,011.87 / $9,549.93	Professional		$4,265.80	$5,011.87	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $10,471.29 / $13,182.57	Professional		$7,413.10	$10,471.29	$13,182.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,623.41 / $13,489.63	Facility		$3,019.95	$5,623.41	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $8,317.64 / $35,481.34	Professional		$4,265.80	$8,317.64	$35,481.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $11,220.18 / $11,748.98	Professional		$10,715.19	$11,220.18	$11,748.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Professional		$10,471.29	$10,471.29	$10,471.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $7,943.28 / $9,549.93	Professional		$5,754.40	$7,943.28	$9,549.93
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 $4,466.84 / $8,128.31 / $12,882.50	Professional		$4,466.84	$8,128.31	$12,882.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $11,481.54 / $11,481.54	Professional		$9,332.54	$11,481.54	$11,481.54