Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $4,365.16	Facility		$1,737.80	$1,737.80	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $2,041.74	Professional		$1,513.56	$1,905.46	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,570.88	Professional		$3,715.35	$3,715.35	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $4,466.84	Facility		$2,089.30	$2,754.23	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,951.21 / $16,218.10	Professional		$1,548.82	$2,951.21	$16,218.10
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 $1,949.84 / $2,951.21 / $3,311.31	Professional		$1,949.84	$2,951.21	$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 $1,819.70 / $3,311.31 / $4,570.88	Professional		$1,819.70	$3,311.31	$4,570.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $4,168.69	Professional		$3,388.44	$3,981.07	$4,168.69