Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $4,365.16	Facility		$2,344.23	$2,344.23	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,511.89 / $4,677.35	Professional		$2,238.72	$2,511.89	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,495.41 / $6,918.31	Professional		$4,168.69	$5,495.41	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,073.80 / $6,760.83	Facility		$2,884.03	$4,073.80	$6,760.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,168.69 / $18,620.87	Professional		$2,344.23	$4,168.69	$18,620.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,623.41 / $5,754.40	Professional		$5,495.41	$5,623.41	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,365.16 / $5,128.61	Professional		$2,951.21	$4,365.16	$5,128.61
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 $2,691.53 / $4,466.84 / $6,760.83	Professional		$2,691.53	$4,466.84	$6,760.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $6,309.57	Professional		$5,128.61	$6,025.60	$6,309.57