Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $4,365.16	Facility		$2,187.76	$2,187.76	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,344.23 / $4,265.80	Professional		$2,041.74	$2,344.23	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,128.61 / $6,309.57	Professional		$3,801.89	$5,128.61	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $5,754.40	Facility		$2,691.53	$3,630.78	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,548.13 / $16,982.44	Professional		$2,089.30	$3,548.13	$16,982.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,128.61 / $5,370.32	Professional		$4,677.35	$5,128.61	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,801.89 / $4,786.30	Professional		$2,454.71	$3,801.89	$4,786.30
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 $2,290.87 / $3,981.07 / $6,165.95	Professional		$2,290.87	$3,981.07	$6,165.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,495.41 / $5,754.40	Professional		$4,677.35	$5,495.41	$5,754.40