Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,857.07 / $1,857.07 / $1,857.07	Facility		$1,857.07	$1,857.07	$1,857.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,516.78 / $1,857.07 / $4,429.80	Professional		$1,516.78	$1,857.07	$4,429.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,820.66 / $1,838.87 / $2,275.83	Professional		$1,820.66	$1,838.87	$2,275.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,800.27 / $2,655.61 / $5,088.37	Facility		$1,800.27	$2,655.61	$5,088.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,062.81 / $2,062.81 / $2,062.81	Professional		$2,062.81	$2,062.81	$2,062.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,079.81 / $1,079.81 / $1,259.77	Facility		$1,079.81	$1,079.81	$1,259.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,975.56 / $1,975.56 / $1,975.56	Professional		$1,975.56	$1,975.56	$1,975.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $1,753.34 / $1,753.34	Professional		$17.60	$1,753.34	$1,753.34
United Facility/Professional Professional Modifier Low / Median / High Price $2,062.81 / $2,062.81 / $2,119.07	Professional		$2,062.81	$2,062.81	$2,119.07
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,718.96 / $1,718.96 / $1,718.96	Facility		$1,718.96	$1,718.96	$1,718.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,718.96 / $1,718.96 / $1,718.96	Professional		$1,718.96	$1,718.96	$1,718.96