Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $4,365.16	Facility		$1,995.26	$1,995.26	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,089.30 / $2,818.38	Professional		$1,862.09	$2,089.30	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $5,754.40	Professional		$4,677.35	$4,677.35	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $5,623.41	Facility		$2,398.83	$2,884.03	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,630.78 / $15,488.17	Professional		$1,949.84	$3,630.78	$15,488.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,677.35 / $4,897.79	Professional		$4,570.88	$4,677.35	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,801.89 / $4,365.16	Professional		$2,511.89	$3,801.89	$4,365.16
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 $2,238.72 / $3,890.45 / $5,623.41	Professional		$2,238.72	$3,890.45	$5,623.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,011.87 / $5,248.07	Professional		$4,265.80	$5,011.87	$5,248.07