Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $4,365.16	Facility		$2,454.71	$2,454.71	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,630.27 / $4,897.79	Professional		$2,344.23	$2,630.27	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,754.40 / $7,244.36	Professional		$4,365.16	$5,754.40	$7,244.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,365.16 / $7,079.46	Facility		$3,311.31	$4,365.16	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,365.16 / $19,498.45	Professional		$2,454.71	$4,365.16	$19,498.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,888.44 / $6,025.60	Professional		$5,754.40	$5,888.44	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,677.35 / $5,370.32	Professional		$3,162.28	$4,677.35	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,677.35 / $7,079.46	Professional		$2,818.38	$4,677.35	$7,079.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,309.57 / $6,606.93	Professional		$5,370.32	$6,309.57	$6,606.93