Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.60 / $1,635.60 / $1,635.60	Facility		$1,635.60	$1,635.60	$1,635.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,357.20 / $1,635.60 / $1,635.60	Professional		$1,357.20	$1,635.60	$1,635.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,499.17 / $3,160.20 / $3,950.26	Professional		$2,499.17	$3,160.20	$3,950.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,642.21 / $1,970.20 / $3,194.29	Facility		$1,642.21	$1,970.20	$3,194.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $887.40 / $1,044.00 / $3,424.32	Professional		$887.40	$1,044.00	$3,424.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,245.35 / $3,045.00 / $3,813.36	Facility		$2,245.35	$3,045.00	$3,813.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,088.00 / $2,644.80 / $3,584.40	Professional		$2,088.00	$2,644.80	$3,584.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,488.19 / $4,192.18 / $4,780.13	Professional		$2,488.19	$4,192.18	$4,780.13
United Facility/Professional Professional Modifier Low / Median / High Price $730.80 / $1,044.00 / $1,566.00	Professional		$730.80	$1,044.00	$1,566.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,740.00 / $1,740.00 / $1,740.00	Professional		$1,740.00	$1,740.00	$1,740.00