Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $4,365.16	Facility		$2,630.27	$2,630.27	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,691.53 / $4,073.80	Professional		$2,398.83	$2,691.53	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,025.60 / $7,585.78	Professional		$5,754.40	$6,025.60	$7,585.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,467.37 / $6,918.31	Facility		$3,162.28	$3,467.37	$6,918.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,786.30 / $19,952.62	Professional		$2,454.71	$4,786.30	$19,952.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,495.41 / $6,025.60	Professional		$4,786.30	$5,495.41	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,677.35 / $5,495.41	Professional		$2,818.38	$4,677.35	$5,495.41
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 $2,630.27 / $4,786.30 / $7,079.46	Professional		$2,630.27	$4,786.30	$7,079.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,456.54 / $6,760.83	Professional		$5,495.41	$6,456.54	$6,760.83