Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $4,365.16	Facility		$2,137.96	$2,137.96	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $3,890.45	Professional		$1,995.26	$2,290.87	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $6,309.57	Professional		$5,011.87	$5,011.87	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $6,025.60	Facility		$2,630.27	$3,090.30	$6,025.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,890.45 / $16,595.87	Professional		$2,089.30	$3,890.45	$16,595.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,128.61 / $5,248.07	Professional		$4,897.79	$5,128.61	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,073.80 / $4,677.35	Professional		$2,691.53	$4,073.80	$4,677.35
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 $2,398.83 / $4,168.69 / $6,025.60	Professional		$2,398.83	$4,168.69	$6,025.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,495.41 / $5,623.41	Professional		$4,677.35	$5,495.41	$5,623.41