Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,649.70 / $1,649.70 / $1,649.70	Facility		$1,649.70	$1,649.70	$1,649.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,175.84 / $1,368.90 / $1,649.70	Professional		$1,175.84	$1,368.90	$1,649.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,520.85 / $3,187.62 / $3,984.53	Professional		$2,520.85	$3,187.62	$3,984.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,656.37 / $1,987.19 / $3,221.83	Facility		$1,656.37	$1,987.19	$3,221.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $895.05 / $1,053.00 / $8,739.90	Professional		$895.05	$1,053.00	$8,739.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,106.00 / $2,268.34 / $4,492.80	Facility		$2,106.00	$2,268.34	$4,492.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,106.00 / $2,106.00 / $3,615.30	Professional		$2,106.00	$2,106.00	$3,615.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,594.06 / $4,228.32 / $4,821.34	Professional		$3,594.06	$4,228.32	$4,821.34
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $895.05 / $1,755.00	Professional		$737.10	$895.05	$1,755.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $1,755.00 / $1,755.00	Professional		$1,755.00	$1,755.00	$1,755.00