Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $4,365.16	Facility		$2,454.71	$2,454.71	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $2,884.03	Professional		$2,137.96	$2,754.23	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,456.54	Professional		$5,128.61	$5,128.61	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,388.44 / $6,309.57	Facility		$2,511.89	$3,388.44	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,168.69 / $22,908.68	Professional		$2,137.96	$4,168.69	$22,908.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,495.41	Professional		$5,248.07	$5,248.07	$5,495.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,073.80 / $4,677.35	Professional		$2,398.83	$4,073.80	$4,677.35
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 $2,570.40 / $4,677.35 / $6,456.54	Professional		$2,570.40	$4,677.35	$6,456.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,623.41 / $5,888.44	Professional		$4,786.30	$5,623.41	$5,888.44