Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $4,365.16	Facility		$1,621.81	$1,621.81	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $1,905.46	Professional		$1,412.54	$1,778.28	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,265.80	Professional		$3,467.37	$3,467.37	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,238.72 / $4,168.69	Facility		$1,995.26	$2,238.72	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,754.23 / $11,481.54	Professional		$1,445.44	$2,754.23	$11,481.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,630.78	Professional		$3,467.37	$3,467.37	$3,630.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $3,090.30	Professional		$1,995.26	$2,691.53	$3,090.30
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 $1,698.24 / $3,090.30 / $4,265.80	Professional		$1,698.24	$3,090.30	$4,265.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $3,890.45	Professional		$3,162.28	$3,715.35	$3,890.45