Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,365.16	Facility		$4,168.69	$4,168.69	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,466.84 / $5,888.44	Professional		$3,890.45	$4,466.84	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $12,022.64	Professional		$9,772.37	$9,772.37	$12,022.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,623.41 / $12,022.64	Facility		$4,570.88	$5,623.41	$12,022.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $32,359.37	Professional		$4,073.80	$7,762.47	$32,359.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $10,000.00 / $10,232.93	Professional		$9,772.37	$10,000.00	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Professional		$9,772.37	$9,772.37	$9,772.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $7,943.28 / $9,120.11	Professional		$5,128.61	$7,943.28	$9,120.11
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 $4,677.35 / $8,128.31 / $12,022.64	Professional		$4,677.35	$8,128.31	$12,022.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $10,964.78	Professional		$8,912.51	$10,715.19	$10,964.78