Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,227.05 / $1,227.05 / $1,227.05	Facility		$1,227.05	$1,227.05	$1,227.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,018.19 / $1,227.05 / $1,227.05	Professional		$1,018.19	$1,227.05	$1,227.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,362.00 / $1,362.00 / $1,702.50	Professional		$1,362.00	$1,362.00	$1,702.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $1,478.07 / $2,396.40	Facility		$1,232.00	$1,478.07	$2,396.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $665.74 / $783.22 / $2,555.59	Professional		$665.74	$783.22	$2,555.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,566.44 / $1,696.98 / $2,860.83	Facility		$1,566.44	$1,696.98	$2,860.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,566.44 / $1,788.36 / $2,689.06	Professional		$1,566.44	$1,788.36	$2,689.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,866.68 / $3,145.03 / $3,586.11	Professional		$1,866.68	$3,145.03	$3,586.11
United Facility/Professional Professional Modifier Low / Median / High Price $548.26 / $783.22 / $1,305.36	Professional		$548.26	$783.22	$1,305.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,305.36 / $1,305.36 / $1,305.36	Professional		$1,305.36	$1,305.36	$1,305.36