Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.40 / $1,090.40 / $1,090.40	Facility		$1,090.40	$1,090.40	$1,090.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $580.00 / $1,740.00	Professional		$306.00	$580.00	$1,740.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,312.87 / $2,312.87 / $2,312.87	Facility		$2,312.87	$2,312.87	$2,312.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,665.94 / $2,106.59 / $2,633.23	Professional		$1,665.94	$2,106.59	$2,633.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $1,217.88 / $1,842.78	Facility		$515.00	$1,217.88	$1,842.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $591.60 / $696.00 / $2,126.96	Professional		$591.60	$696.00	$2,126.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,496.90 / $2,126.96 / $2,577.84	Facility		$1,496.90	$2,126.96	$2,577.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,392.00 / $2,126.96 / $2,542.23	Professional		$1,392.00	$2,126.96	$2,542.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,658.80 / $2,794.79 / $3,186.75	Professional		$1,658.80	$2,794.79	$3,186.75
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $591.60 / $1,531.20	Professional		$487.20	$591.60	$1,531.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,160.00 / $1,160.00	Professional		$1,160.00	$1,160.00	$1,160.00