Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $4,365.16	Facility		$3,162.28	$3,162.28	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $7,079.46	Professional		$3,162.28	$3,715.35	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $7,585.78 / $9,549.93	Professional		$5,495.41	$7,585.78	$9,549.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,265.80 / $10,000.00	Facility		$2,691.53	$4,265.80	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $5,754.40 / $25,703.96	Professional		$3,235.94	$5,754.40	$25,703.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $8,128.31 / $8,511.38	Professional		$7,762.47	$8,128.31	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Professional		$7,585.78	$7,585.78	$7,585.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,754.40 / $6,918.31	Professional		$4,168.69	$5,754.40	$6,918.31
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 $3,235.94 / $5,754.40 / $9,332.54	Professional		$3,235.94	$5,754.40	$9,332.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $8,317.64 / $8,317.64	Professional		$6,918.31	$8,317.64	$8,317.64