Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.20 / $1,908.20 / $1,908.20	Facility		$1,908.20	$1,908.20	$1,908.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,360.10 / $1,583.40 / $1,908.20	Professional		$1,360.10	$1,583.40	$1,908.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,915.78 / $3,687.01 / $4,608.77	Professional		$2,915.78	$3,687.01	$4,608.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,915.91 / $2,298.57 / $3,726.67	Facility		$1,915.91	$2,298.57	$3,726.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,035.30 / $1,218.00 / $3,995.04	Professional		$1,035.30	$1,218.00	$3,995.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,436.00 / $3,412.40 / $5,583.39	Facility		$2,436.00	$3,412.40	$5,583.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,436.00 / $3,995.04 / $5,583.39	Professional		$2,436.00	$3,995.04	$5,583.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,902.90 / $4,890.88 / $5,576.82	Professional		$2,902.90	$4,890.88	$5,576.82
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $1,035.30 / $2,030.00	Professional		$852.60	$1,035.30	$2,030.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,030.00 / $2,030.00	Professional		$2,030.00	$2,030.00	$2,030.00