Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $4,365.16	Facility		$1,023.29	$1,023.29	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,047.13 / $2,570.40	Professional		$977.24	$1,047.13	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,019.95 / $3,801.89	Professional		$2,691.53	$3,019.95	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $2,570.40	Facility		$1,096.48	$1,737.80	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,949.84 / $10,232.93	Professional		$1,023.29	$1,949.84	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,630.27	Professional		$2,511.89	$2,511.89	$2,630.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,511.89 / $2,818.38	Professional		$1,445.44	$2,511.89	$2,818.38
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 $1,202.26 / $2,187.76 / $3,019.95	Professional		$1,202.26	$2,187.76	$3,019.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,467.37	Professional		$2,818.38	$2,818.38	$3,467.37