Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $4,365.16	Facility		$1,698.24	$1,698.24	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $2,691.53	Professional		$1,659.59	$1,819.70	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,073.80 / $5,128.61	Professional		$3,981.07	$4,073.80	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $4,677.35	Facility		$2,187.76	$2,570.40	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,235.94 / $25,118.86	Professional		$1,659.59	$3,235.94	$25,118.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,981.07 / $4,265.80	Professional		$3,801.89	$3,981.07	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $3,467.37	Professional		$2,398.83	$3,090.30	$3,467.37
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 / $3,467.37 / $5,011.87	Professional		$1,995.26	$3,467.37	$5,011.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $4,265.80	Professional		$3,467.37	$4,073.80	$4,265.80