Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $4,365.16	Facility		$2,187.76	$2,187.76	$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 / $5,754.40	Professional		$4,570.88	$4,570.88	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $5,495.41	Facility		$1,995.26	$2,884.03	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,630.78 / $15,135.61	Professional		$1,862.09	$3,630.78	$15,135.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,786.30	Professional		$4,677.35	$4,677.35	$4,786.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,630.78 / $4,168.69	Professional		$2,089.30	$3,630.78	$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 $2,238.72 / $4,073.80 / $5,623.41	Professional		$2,238.72	$4,073.80	$5,623.41
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