Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,737.80 / $2,041.74	Professional		$1,659.59	$1,737.80	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,344.23	Professional		$1,737.80	$1,737.80	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $5,128.61	Facility		$2,041.74	$2,630.27	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,949.84	Professional		$1,698.24	$1,698.24	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,949.84	Professional		$1,698.24	$1,698.24	$1,949.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24