Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $4,365.16	Facility		$2,290.87	$2,290.87	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,454.71 / $2,884.03	Professional		$2,137.96	$2,454.71	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,370.32 / $6,760.83	Professional		$5,128.61	$5,370.32	$6,760.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,311.31 / $6,456.54	Facility		$2,754.23	$3,311.31	$6,456.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,168.69 / $17,782.79	Professional		$2,187.76	$4,168.69	$17,782.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $5,495.41	Professional		$4,073.80	$4,897.79	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,365.16 / $5,011.87	Professional		$2,511.89	$4,365.16	$5,011.87
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 $2,398.83 / $4,365.16 / $6,309.57	Professional		$2,398.83	$4,365.16	$6,309.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,888.44 / $6,165.95	Professional		$5,011.87	$5,888.44	$6,165.95