Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $4,365.16	Facility		$2,398.83	$2,398.83	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,570.40 / $2,691.53	Professional		$2,238.72	$2,570.40	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $7,079.46	Professional		$5,623.41	$5,623.41	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $6,918.31	Facility		$2,570.40	$3,235.94	$6,918.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $18,620.87	Professional		$2,344.23	$4,365.16	$18,620.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,754.40 / $5,888.44	Professional		$5,623.41	$5,754.40	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional		$5,623.41	$5,623.41	$5,623.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,570.88 / $5,248.07	Professional		$2,951.21	$4,570.88	$5,248.07
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 $2,691.53 / $4,677.35 / $6,918.31	Professional		$2,691.53	$4,677.35	$6,918.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,165.95 / $6,309.57	Professional		$5,248.07	$6,165.95	$6,309.57