Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,239.83 / $6,696.09 / $16,505.28	Facility		$1,239.83	$6,696.09	$16,505.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,029.06 / $1,053.85 / $1,239.83	Professional		$1,029.06	$1,053.85	$1,239.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,400.50 / $1,722.50 / $2,153.13	Facility		$1,400.50	$1,722.50	$2,153.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.88 / $1,291.88 / $1,614.84	Professional		$1,291.88	$1,291.88	$1,614.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,239.83 / $1,718.17 / $2,095.33	Facility		$1,239.83	$1,718.17	$2,095.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $4,487.04	Professional		$1,033.20	$1,033.20	$4,487.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,670.23 / $2,093.69 / $2,500.16	Facility		$1,670.23	$2,093.69	$2,500.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,128.93 / $1,128.93 / $1,128.93	Professional		$1,128.93	$1,128.93	$1,128.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $1,136.52	Professional		$1,033.20	$1,033.20	$1,136.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $1,033.20	Professional		$1,033.20	$1,033.20	$1,033.20