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 $1,174.90 / $1,479.11 / $1,584.89	Professional		$1,174.90	$1,479.11	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,630.78	Professional		$2,884.03	$2,884.03	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $3,467.37	Facility		$1,819.70	$2,137.96	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,290.87 / $18,197.01	Professional		$1,174.90	$2,290.87	$18,197.01
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 / $2,238.72 / $2,570.40	Professional		$1,621.81	$2,238.72	$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 $1,412.54 / $2,570.40 / $3,548.13	Professional		$1,412.54	$2,570.40	$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