Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,128.02	Facility		$4,128.02	$4,128.02	$4,128.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,991.92	Professional		$4,128.02	$4,128.02	$4,991.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,063.58 / $4,128.02 / $5,079.47	Professional		$4,063.58	$4,128.02	$5,079.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.77 / $4,787.57 / $8,251.10	Facility		$83.77	$4,787.57	$8,251.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,125.55 / $4,592.60 / $17,614.63	Professional		$4,125.55	$4,592.60	$17,614.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $5,186.53 / $6,513.57	Facility		$60.00	$5,186.53	$6,513.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $90.46 / $183.04 / $6,188.33	Professional		$90.46	$183.04	$6,188.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $213.75 / $4,517.46 / $4,517.46	Professional		$213.75	$4,517.46	$4,517.46
United Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,912.34	Professional		$4,128.02	$4,128.02	$4,912.34
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,514.75 / $4,514.75 / $4,514.75	Facility		$4,514.75	$4,514.75	$4,514.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,514.75 / $4,514.75 / $4,514.75	Professional		$4,514.75	$4,514.75	$4,514.75