Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $4,365.16	Facility		$1,348.96	$1,348.96	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,584.89	Professional		$1,148.15	$1,479.11	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,548.13	Professional		$2,818.38	$2,818.38	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $3,388.44	Facility		$1,778.28	$2,089.30	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,290.87 / $10,000.00	Professional		$1,174.90	$2,290.87	$10,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,951.21	Professional		$2,884.03	$2,884.03	$2,951.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $2,570.40	Professional		$1,621.81	$2,344.23	$2,570.40
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 $1,479.11 / $2,630.27 / $3,548.13	Professional		$1,479.11	$2,630.27	$3,548.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $3,235.94	Professional		$2,630.27	$3,090.30	$3,235.94