Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $4,365.16	Facility		$1,778.28	$1,778.28	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,089.30	Professional		$1,513.56	$1,949.84	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,677.35	Professional		$3,715.35	$3,715.35	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $4,466.84	Facility		$2,187.76	$2,754.23	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,019.95 / $21,379.62	Professional		$1,548.82	$3,019.95	$21,379.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,890.45	Professional		$3,715.35	$3,715.35	$3,890.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $3,311.31	Professional		$2,187.76	$3,019.95	$3,311.31
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 $1,862.09 / $3,388.44 / $4,677.35	Professional		$1,862.09	$3,388.44	$4,677.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $4,168.69	Professional		$3,467.37	$4,073.80	$4,168.69