Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $4,365.16	Facility		$1,995.26	$1,995.26	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $4,365.16	Professional		$1,995.26	$2,290.87	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,786.30 / $6,025.60	Professional		$3,388.44	$4,786.30	$6,025.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,951.21 / $6,165.95	Facility		$1,778.28	$2,951.21	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,630.78 / $15,848.93	Professional		$2,187.76	$3,630.78	$15,848.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,011.87 / $5,370.32	Professional		$4,897.79	$5,011.87	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $4,365.16	Professional		$2,754.23	$3,630.78	$4,365.16
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 $2,187.76 / $3,630.78 / $5,754.40	Professional		$2,187.76	$3,630.78	$5,754.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,248.07 / $5,248.07	Professional		$4,265.80	$5,248.07	$5,248.07