Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $4,365.16	Facility		$2,238.72	$2,238.72	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,398.83 / $4,466.84	Professional		$2,137.96	$2,398.83	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,370.32 / $6,606.93	Professional		$3,981.07	$5,370.32	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,801.89 / $6,456.54	Facility		$2,754.23	$3,801.89	$6,456.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,801.89 / $17,782.79	Professional		$2,187.76	$3,801.89	$17,782.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,370.32 / $5,495.41	Professional		$4,897.79	$5,370.32	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,011.87	Professional		$4,897.79	$4,897.79	$5,011.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,168.69 / $4,897.79	Professional		$2,691.53	$4,168.69	$4,897.79
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 $2,454.71 / $4,168.69 / $6,456.54	Professional		$2,454.71	$4,168.69	$6,456.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,754.40 / $6,025.60	Professional		$4,897.79	$5,754.40	$6,025.60