Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,630.78	Facility		$1,819.70	$1,819.70	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,090.30	Professional		$1,819.70	$1,819.70	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,290.87	Professional		$1,862.09	$1,862.09	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $5,011.87	Facility		$1,548.82	$2,570.40	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,041.74	Professional		$1,548.82	$2,041.74	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,995.26 / $1,995.26	Professional		$1,862.09	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,041.74	Professional		$1,548.82	$2,041.74	$2,041.74
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70