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 / $1,995.26 / $3,388.44	Facility		$1,778.28	$1,995.26	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,290.87 / $18,620.87	Professional		$1,174.90	$2,290.87	$18,620.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,019.95	Professional		$2,818.38	$2,818.38	$3,019.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,511.89	Professional		$1,659.59	$2,187.76	$2,511.89
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 $1,380.38 / $2,511.89 / $3,548.13	Professional		$1,380.38	$2,511.89	$3,548.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $3,162.28	Professional		$2,630.27	$3,090.30	$3,162.28