Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,951.25 / $1,951.25 / $1,951.25	Facility		$1,951.25	$1,951.25	$1,951.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,390.79 / $1,951.25 / $1,951.25	Professional		$1,390.79	$1,951.25	$1,951.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,408.92 / $3,769.92 / $4,712.39	Professional		$2,408.92	$3,769.92	$4,712.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,959.14 / $2,350.44 / $9,860.04	Facility		$1,959.14	$2,350.44	$9,860.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,058.66 / $1,868.22 / $3,113.70	Professional		$1,058.66	$1,868.22	$3,113.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,490.96 / $2,490.96 / $5,709.37	Facility		$2,490.96	$2,490.96	$5,709.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,490.96 / $4,857.37 / $5,709.37	Professional		$2,490.96	$4,857.37	$5,709.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,251.03 / $5,001.22 / $5,702.64	Professional		$4,251.03	$5,001.22	$5,702.64
United Facility/Professional Professional Modifier Low / Median / High Price $871.84 / $1,058.66 / $2,490.96	Professional		$871.84	$1,058.66	$2,490.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,075.80 / $2,075.80 / $2,075.80	Professional		$2,075.80	$2,075.80	$2,075.80