Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $4,365.16	Facility		$2,187.76	$2,187.76	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,344.23 / $3,548.13	Professional		$2,041.74	$2,344.23	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,456.54	Professional		$5,128.61	$5,128.61	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $6,165.95	Facility		$2,691.53	$3,162.28	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,981.07 / $16,982.44	Professional		$2,137.96	$3,981.07	$16,982.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,128.61 / $5,248.07	Professional		$4,677.35	$5,128.61	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,168.69 / $4,786.30	Professional		$2,818.38	$4,168.69	$4,786.30
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 / $4,265.80 / $6,025.60	Professional		$2,398.83	$4,265.80	$6,025.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,495.41 / $5,754.40	Professional		$4,677.35	$5,495.41	$5,754.40