Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $4,365.16	Facility		$2,691.53	$2,691.53	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,691.53 / $3,801.89	Professional		$2,511.89	$2,691.53	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $6,165.95 / $7,762.47	Professional		$5,888.44	$6,165.95	$7,762.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,630.78 / $6,918.31	Facility		$3,162.28	$3,630.78	$6,918.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,786.30 / $19,952.62	Professional		$2,511.89	$4,786.30	$19,952.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,888.44 / $6,025.60	Professional		$5,495.41	$5,888.44	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,466.84 / $5,248.07	Professional		$3,235.94	$4,466.84	$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 $2,884.03 / $5,011.87 / $7,413.10	Professional		$2,884.03	$5,011.87	$7,413.10
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