Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Facility		$5,168.22	$5,168.22	$5,168.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,018.27 / $5,168.22 / $6,011.98	Professional		$5,018.27	$5,168.22	$6,011.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,062.31 / $5,168.22 / $6,327.89	Professional		$5,062.31	$5,168.22	$6,327.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,447.68 / $7,105.07 / $13,613.91	Facility		$4,447.68	$7,105.07	$13,613.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,968.58 / $4,968.58 / $5,465.44	Professional		$4,968.58	$4,968.58	$5,465.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,920.43 / $6,083.98 / $8,872.46	Facility		$3,920.43	$6,083.98	$8,872.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,975.08 / $5,779.78 / $7,604.97	Professional		$1,975.08	$5,779.78	$7,604.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,655.80 / $5,655.80 / $5,655.80	Professional		$5,655.80	$5,655.80	$5,655.80
United Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,685.05	Professional		$5,168.22	$5,168.22	$5,685.05
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,968.58 / $4,968.58 / $4,968.58	Facility		$4,968.58	$4,968.58	$4,968.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,968.58 / $4,968.58 / $4,968.58	Professional		$4,968.58	$4,968.58	$4,968.58