Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.10 / $1,190.10 / $1,190.10	Facility		$1,190.10	$1,190.10	$1,190.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.00 / $987.53 / $1,190.10	Professional		$850.00	$987.53	$1,190.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,818.75 / $2,299.81 / $2,874.77	Professional		$1,818.75	$2,299.81	$2,874.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,194.92 / $1,433.58 / $2,324.26	Facility		$1,194.92	$1,433.58	$2,324.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.70 / $759.64 / $2,543.54	Professional		$645.70	$759.64	$2,543.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,519.28 / $1,645.89 / $2,543.54	Facility		$1,519.28	$1,645.89	$2,543.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,519.28 / $2,215.62 / $2,543.54	Professional		$1,519.28	$2,215.62	$2,543.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,592.78 / $3,050.34 / $3,478.15	Professional		$2,592.78	$3,050.34	$3,478.15
United Facility/Professional Professional Modifier Low / Median / High Price $531.75 / $645.70 / $1,266.07	Professional		$531.75	$645.70	$1,266.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,266.07 / $1,266.07 / $1,266.07	Professional		$1,266.07	$1,266.07	$1,266.07