Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $4,365.16	Facility		$2,570.40	$2,570.40	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $5,623.41	Professional		$2,570.40	$3,019.95	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,309.57 / $7,943.28	Professional		$4,466.84	$6,309.57	$7,943.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $7,585.78	Facility		$2,344.23	$3,801.89	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,365.16 / $20,892.96	Professional		$2,630.27	$4,365.16	$20,892.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,456.54 / $6,918.31	Professional		$6,309.57	$6,456.54	$6,918.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,677.35 / $5,623.41	Professional		$3,235.94	$4,677.35	$5,623.41
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 $2,754.23 / $4,466.84 / $7,413.10	Professional		$2,754.23	$4,466.84	$7,413.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,760.83 / $6,760.83	Professional		$5,623.41	$6,760.83	$6,760.83