Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $4,365.16	Facility		$1,548.82	$1,548.82	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $3,019.95	Professional		$1,479.11	$1,659.59	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $4,570.88	Professional		$2,754.23	$3,630.78	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $4,365.16	Facility		$1,995.26	$2,630.27	$4,365.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $12,302.69	Professional		$1,513.56	$2,398.83	$12,302.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $3,548.13	Professional		$3,019.95	$3,548.13	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,162.28	Professional		$3,019.95	$3,019.95	$3,162.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,884.03 / $3,388.44	Professional		$1,698.24	$2,884.03	$3,388.44
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 $1,548.82 / $2,818.38 / $4,365.16	Professional		$1,548.82	$2,818.38	$4,365.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $4,168.69	Professional		$3,388.44	$3,981.07	$4,168.69