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 $2,187.76 / $2,454.71 / $3,311.31	Professional		$2,187.76	$2,454.71	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,495.41 / $6,918.31	Professional		$5,248.07	$5,495.41	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,162.28 / $6,165.95	Facility		$2,630.27	$3,162.28	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,168.69 / $18,197.01	Professional		$2,187.76	$4,168.69	$18,197.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,248.07 / $5,495.41	Professional		$5,128.61	$5,248.07	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,168.69 / $4,897.79	Professional		$2,511.89	$4,168.69	$4,897.79
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 $2,454.71 / $4,466.84 / $6,456.54	Professional		$2,454.71	$4,466.84	$6,456.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,754.40 / $6,025.60	Professional		$4,897.79	$5,754.40	$6,025.60