Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,527.50 / $1,527.50 / $1,527.50	Facility		$1,527.50	$1,527.50	$1,527.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $975.00 / $1,527.50	Professional		$975.00	$975.00	$1,527.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,239.85 / $3,239.85 / $3,239.85	Facility		$3,239.85	$3,239.85	$3,239.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,867.59 / $2,951.96 / $3,689.95	Professional		$1,867.59	$2,951.96	$3,689.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $1,533.68 / $7,718.75	Facility		$0.02	$1,533.68	$7,718.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $828.75 / $1,462.50 / $2,979.60	Professional		$828.75	$1,462.50	$2,979.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,096.94 / $2,979.60 / $3,611.20	Facility		$2,096.94	$2,979.60	$3,611.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $2,979.60 / $4,241.25	Professional		$1,950.00	$2,979.60	$4,241.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,323.75 / $3,915.11 / $4,464.20	Professional		$2,323.75	$3,915.11	$4,464.20
United Facility/Professional Professional Modifier Low / Median / High Price $682.50 / $975.00 / $1,950.00	Professional		$682.50	$975.00	$1,950.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,625.00 / $1,625.00 / $1,625.00	Professional		$1,625.00	$1,625.00	$1,625.00