Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $4,365.16	Facility		$1,479.11	$1,479.11	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $1,737.80	Professional		$1,288.25	$1,659.59	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,890.45	Professional		$3,162.28	$3,162.28	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $3,801.89	Facility		$1,995.26	$2,344.23	$3,801.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,570.40 / $14,791.08	Professional		$1,348.96	$2,570.40	$14,791.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,311.31	Professional		$3,235.94	$3,235.94	$3,311.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $2,884.03	Professional		$1,949.84	$2,511.89	$2,884.03
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 $1,621.81 / $2,884.03 / $3,981.07	Professional		$1,621.81	$2,884.03	$3,981.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $3,630.78	Professional		$2,951.21	$3,467.37	$3,630.78