Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $4,365.16	Facility		$1,047.13	$1,047.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,202.26	Professional		$891.25	$1,148.15	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,754.23	Professional		$2,187.76	$2,187.76	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,630.27	Facility		$1,380.38	$1,737.80	$2,630.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,737.80 / $10,232.93	Professional		$912.01	$1,737.80	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,290.87	Professional		$2,187.76	$2,187.76	$2,290.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $1,949.84	Professional		$1,202.26	$1,659.59	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $2,754.23	Professional		$1,122.02	$1,995.26	$2,754.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $2,454.71	Professional		$2,041.74	$2,398.83	$2,454.71