Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $4,365.16	Facility		$1,949.84	$1,949.84	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $2,290.87	Professional		$1,698.24	$2,137.96	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $5,128.61	Professional		$4,073.80	$4,073.80	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,691.53 / $4,897.79	Facility		$2,398.83	$2,691.53	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,311.31 / $13,803.84	Professional		$1,737.80	$3,311.31	$13,803.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,365.16	Professional		$4,168.69	$4,168.69	$4,365.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $3,715.35	Professional		$2,454.71	$3,388.44	$3,715.35
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 $2,238.72 / $3,715.35 / $5,128.61	Professional		$2,238.72	$3,715.35	$5,128.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $4,677.35	Professional		$3,801.89	$4,466.84	$4,677.35