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 $777.20 / $904.80 / $1,090.40	Professional		$777.20	$904.80	$1,090.40
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 $1,094.81 / $1,313.47 / $2,129.53	Facility		$1,094.81	$1,313.47	$2,129.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $591.60 / $696.00 / $2,123.88	Professional		$591.60	$696.00	$2,123.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,496.90 / $2,121.35 / $2,969.60	Facility		$1,496.90	$2,121.35	$2,969.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,392.00 / $1,946.54 / $2,542.23	Professional		$1,392.00	$1,946.54	$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 / $696.00 / $1,160.00	Professional		$487.20	$696.00	$1,160.00
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