Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $4,365.16	Facility		$1,995.26	$1,995.26	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,137.96 / $3,090.30	Professional		$1,949.84	$2,137.96	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,786.30 / $6,025.60	Professional		$4,570.88	$4,786.30	$6,025.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $5,495.41	Facility		$2,570.40	$3,019.95	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,801.89 / $30,199.52	Professional		$1,949.84	$3,801.89	$30,199.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,570.88 / $4,897.79	Professional		$4,365.16	$4,570.88	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,548.13 / $4,073.80	Professional		$2,818.38	$3,548.13	$4,073.80
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 $2,290.87 / $3,981.07 / $5,888.44	Professional		$2,290.87	$3,981.07	$5,888.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $4,897.79	Professional		$4,073.80	$4,786.30	$4,897.79