Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $4,365.16	Facility		$1,479.11	$1,479.11	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $1,737.80	Professional		$1,258.93	$1,621.81	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,890.45	Professional		$3,090.30	$3,090.30	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $3,715.35	Facility		$1,819.70	$2,290.87	$3,715.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $13,489.63	Professional		$1,288.25	$2,511.89	$13,489.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,235.94	Professional		$3,090.30	$3,090.30	$3,235.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $2,754.23	Professional		$1,698.24	$2,454.71	$2,754.23
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 $1,513.56 / $2,754.23 / $3,890.45	Professional		$1,513.56	$2,754.23	$3,890.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $3,467.37	Professional		$2,884.03	$3,388.44	$3,467.37