Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $4,365.16	Facility		$2,630.27	$2,630.27	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $4,786.30	Professional		$2,290.87	$2,884.03	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $6,918.31	Professional		$5,495.41	$5,495.41	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $6,606.93	Facility		$2,089.30	$3,467.37	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,570.88 / $18,620.87	Professional		$2,290.87	$4,570.88	$18,620.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,888.44	Professional		$5,623.41	$5,623.41	$5,888.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,365.16 / $5,011.87	Professional		$2,187.76	$4,365.16	$5,011.87
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 $2,754.23 / $5,011.87 / $6,918.31	Professional		$2,754.23	$5,011.87	$6,918.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $6,309.57	Professional		$5,128.61	$6,025.60	$6,309.57