Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $9,772.37	Facility		$4,897.79	$4,897.79	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $8,317.64	Professional		$4,897.79	$4,897.79	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $6,309.57	Professional		$5,011.87	$5,011.87	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $2,884.03	Facility		$1,230.27	$1,584.89	$2,884.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,047.13	Professional		$891.25	$1,047.13	$1,047.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Professional		$5,370.32	$5,370.32	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $4,897.79 / $5,370.32	Professional		$1,348.96	$4,897.79	$5,370.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13