Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $4,365.16	Facility		$1,737.80	$1,737.80	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,041.74	Professional		$1,513.56	$1,949.84	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,570.88	Professional		$3,630.78	$3,630.78	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,454.71 / $4,466.84	Facility		$2,137.96	$2,454.71	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,019.95 / $12,302.69	Professional		$1,584.89	$3,019.95	$12,302.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,890.45	Professional		$3,801.89	$3,801.89	$3,890.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $3,388.44	Professional		$2,344.23	$3,162.28	$3,388.44
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 $2,089.30 / $3,388.44 / $4,677.35	Professional		$2,089.30	$3,388.44	$4,677.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $4,265.80	Professional		$3,467.37	$4,073.80	$4,265.80