Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $4,365.16	Facility		$1,737.80	$1,737.80	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,949.84 / $3,630.78	Professional		$1,698.24	$1,949.84	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,168.69 / $5,248.07	Professional		$3,019.95	$4,168.69	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $5,011.87	Facility		$1,548.82	$2,570.40	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,019.95 / $13,803.84	Professional		$1,778.28	$3,019.95	$13,803.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,365.16 / $4,570.88	Professional		$4,073.80	$4,365.16	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $3,630.78	Professional		$2,187.76	$3,019.95	$3,630.78
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 $1,778.28 / $3,019.95 / $5,011.87	Professional		$1,778.28	$3,019.95	$5,011.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,365.16 / $4,365.16	Professional		$3,548.13	$4,365.16	$4,365.16