Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $4,365.16	Facility		$1,096.48	$1,096.48	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,258.93	Professional		$933.25	$1,174.90	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,884.03	Professional		$2,290.87	$2,290.87	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,754.23	Facility		$1,412.54	$1,819.70	$2,754.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,819.70 / $9,549.93	Professional		$933.25	$1,819.70	$9,549.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,344.23	Professional		$2,290.87	$2,290.87	$2,344.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,041.74	Professional		$1,318.26	$1,819.70	$2,041.74
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 $1,122.02 / $2,041.74 / $2,818.38	Professional		$1,122.02	$2,041.74	$2,818.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $2,570.40	Professional		$2,137.96	$2,511.89	$2,570.40