Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $4,365.16	Facility		$2,818.38	$2,818.38	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,235.94 / $6,025.60	Professional		$2,818.38	$3,235.94	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,918.31 / $8,511.38	Professional		$4,897.79	$6,918.31	$8,511.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,981.07 / $7,413.10	Facility		$2,511.89	$3,981.07	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,677.35 / $22,387.21	Professional		$3,235.94	$4,677.35	$22,387.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $7,079.46 / $7,585.78	Professional		$6,918.31	$7,079.46	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,248.07 / $6,165.95	Professional		$3,715.35	$5,248.07	$6,165.95
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 $3,311.31 / $4,897.79 / $8,128.31	Professional		$3,311.31	$4,897.79	$8,128.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,413.10 / $7,413.10	Professional		$6,025.60	$7,413.10	$7,413.10