Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $4,365.16	Facility		$2,691.53	$2,691.53	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,951.21 / $3,801.89	Professional		$2,570.40	$2,951.21	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $8,128.31	Professional		$6,456.54	$6,456.54	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,715.35 / $7,413.10	Facility		$3,090.30	$3,715.35	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $5,011.87 / $30,902.95	Professional		$2,570.40	$5,011.87	$30,902.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $6,456.54 / $6,456.54	Professional		$5,888.44	$6,456.54	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,786.30 / $5,623.41	Professional		$3,162.28	$4,786.30	$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 $3,019.95 / $5,370.32 / $7,585.78	Professional		$3,019.95	$5,370.32	$7,585.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,606.93 / $6,918.31	Professional		$5,623.41	$6,606.93	$6,918.31