Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $4,365.16	Facility		$1,412.54	$1,412.54	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,659.59	Professional		$1,202.26	$1,445.44	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,715.35	Professional		$2,951.21	$2,951.21	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $3,630.78	Facility		$1,778.28	$2,238.72	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,398.83 / $13,182.57	Professional		$1,230.27	$2,398.83	$13,182.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,090.30	Professional		$3,019.95	$3,019.95	$3,090.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $2,630.27	Professional		$1,659.59	$2,344.23	$2,630.27
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 $1,445.44 / $2,630.27 / $3,715.35	Professional		$1,445.44	$2,630.27	$3,715.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $3,388.44	Professional		$2,754.23	$3,235.94	$3,388.44