Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,786.19 / $1,786.19 / $1,786.19	Facility		$1,786.19	$1,786.19	$1,786.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,482.16 / $1,786.19 / $1,786.19	Professional		$1,482.16	$1,786.19	$1,786.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,729.41 / $3,451.35 / $4,314.18	Professional		$2,729.41	$3,451.35	$4,314.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,793.41 / $2,151.59 / $3,488.38	Facility		$1,793.41	$2,151.59	$3,488.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $969.10 / $1,140.11 / $9,463.00	Professional		$969.10	$1,140.11	$9,463.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,280.23 / $2,470.26 / $8,448.67	Facility		$2,280.23	$2,470.26	$8,448.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,280.23 / $2,280.23 / $8,448.67	Professional		$2,280.23	$2,280.23	$8,448.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,891.42 / $4,578.14 / $5,220.22	Professional		$3,891.42	$4,578.14	$5,220.22
United Facility/Professional Professional Modifier Low / Median / High Price $798.08 / $1,140.11 / $1,900.20	Professional		$798.08	$1,140.11	$1,900.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,900.20 / $1,900.20 / $1,900.20	Professional		$1,900.20	$1,900.20	$1,900.20