Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $10,232.93	Facility		$5,128.61	$5,128.61	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $8,709.64	Professional		$5,128.61	$5,128.61	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $6,606.93	Professional		$5,248.07	$5,248.07	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $7,079.46 / $13,489.63	Facility		$4,466.84	$7,079.46	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,011.87 / $5,495.41	Professional		$4,265.80	$5,011.87	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional		$5,623.41	$5,623.41	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,128.61 / $5,623.41	Professional		$4,365.16	$5,128.61	$5,623.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61