Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $4,365.16	Facility		$2,511.89	$2,511.89	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,691.53 / $3,630.78	Professional		$2,398.83	$2,691.53	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,456.54 / $8,128.31	Professional		$6,025.60	$6,456.54	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,548.13 / $7,079.46	Facility		$3,388.44	$3,548.13	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $21,379.62	Professional		$2,570.40	$4,677.35	$21,379.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,025.60 / $6,025.60	Professional		$5,623.41	$6,025.60	$6,025.60
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 $3,162.28 / $4,897.79 / $6,025.60	Professional		$3,162.28	$4,897.79	$6,025.60
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 $2,818.38 / $4,897.79 / $7,244.36	Professional		$2,818.38	$4,897.79	$7,244.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $6,918.31 / $7,244.36	Professional		$5,888.44	$6,918.31	$7,244.36