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 $2,089.30 / $2,398.83 / $4,365.16	Professional		$2,089.30	$2,398.83	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,248.07 / $6,456.54	Professional		$3,890.45	$5,248.07	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,715.35 / $5,248.07	Facility		$2,691.53	$3,715.35	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,388.44 / $17,378.01	Professional		$2,187.76	$3,388.44	$17,378.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,248.07 / $5,248.07	Professional		$4,365.16	$5,248.07	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,466.84	Professional		$4,365.16	$4,365.16	$4,466.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $4,897.79	Professional		$2,754.23	$3,630.78	$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 $2,238.72 / $3,981.07 / $6,165.95	Professional		$2,238.72	$3,981.07	$6,165.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,623.41 / $5,888.44	Professional		$4,786.30	$5,623.41	$5,888.44