Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $4,365.16	Facility		$1,905.46	$1,905.46	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $4,168.69	Professional		$1,905.46	$2,238.72	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,677.35 / $5,888.44	Professional		$3,311.31	$4,677.35	$5,888.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,691.53 / $5,623.41	Facility		$1,737.80	$2,691.53	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,311.31 / $15,488.17	Professional		$1,949.84	$3,311.31	$15,488.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,786.30 / $5,128.61	Professional		$4,677.35	$4,786.30	$5,128.61
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 $2,398.83 / $3,467.37 / $4,168.69	Professional		$2,398.83	$3,467.37	$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 $1,995.26 / $3,311.31 / $5,623.41	Professional		$1,995.26	$3,311.31	$5,623.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,011.87 / $5,011.87	Professional		$4,168.69	$5,011.87	$5,011.87