Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $4,365.16	Facility		$1,862.09	$1,862.09	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $2,187.76	Professional		$1,621.81	$2,089.30	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $4,897.79	Professional		$3,890.45	$3,890.45	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $4,786.30	Facility		$2,290.87	$2,884.03	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,235.94 / $13,182.57	Professional		$1,698.24	$3,235.94	$13,182.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,168.69	Professional		$4,073.80	$4,073.80	$4,168.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $3,630.78	Professional		$2,511.89	$3,162.28	$3,630.78
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 $2,041.74 / $3,630.78 / $5,011.87	Professional		$2,041.74	$3,630.78	$5,011.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $4,570.88	Professional		$3,715.35	$4,365.16	$4,570.88