Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $4,365.16	Facility		$1,584.89	$1,584.89	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $1,862.09	Professional		$1,348.96	$1,737.80	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $4,168.69	Professional		$3,311.31	$3,311.31	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $3,981.07	Facility		$1,995.26	$2,454.71	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,691.53 / $18,197.01	Professional		$1,380.38	$2,691.53	$18,197.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,467.37	Professional		$3,388.44	$3,388.44	$3,467.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $2,951.21	Professional		$1,949.84	$2,630.27	$2,951.21
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 $1,621.81 / $2,951.21 / $4,168.69	Professional		$1,621.81	$2,951.21	$4,168.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $3,801.89	Professional		$3,090.30	$3,630.78	$3,801.89