Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $4,365.16	Facility		$2,137.96	$2,137.96	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $2,570.40	Professional		$1,862.09	$2,398.83	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $5,623.41	Professional		$4,570.88	$4,570.88	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,019.95 / $5,495.41	Facility		$2,691.53	$3,019.95	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,715.35 / $22,387.21	Professional		$1,949.84	$3,715.35	$22,387.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,897.79	Professional		$4,677.35	$4,677.35	$4,897.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $4,168.69	Professional		$2,884.03	$3,801.89	$4,168.69
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 $2,344.23 / $4,168.69 / $5,754.40	Professional		$2,344.23	$4,168.69	$5,754.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,011.87 / $5,248.07	Professional		$4,265.80	$5,011.87	$5,248.07