Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $1,828.72	Facility		$1,828.72	$1,828.72	$1,828.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $2,251.96	Professional		$1,828.72	$1,828.72	$2,251.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,788.94 / $1,828.71 / $2,236.17	Professional		$1,788.94	$1,828.71	$2,236.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,135.57 / $3,145.31 / $5,099.50	Facility		$2,135.57	$3,145.31	$5,099.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,755.81 / $1,861.13 / $2,047.24	Professional		$1,755.81	$1,861.13	$2,047.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,106.96 / $2,669.46 / $3,698.29	Facility		$2,106.96	$2,669.46	$3,698.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,048.94 / $2,536.60 / $3,986.48	Professional		$2,048.94	$2,536.60	$3,986.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,001.23 / $2,001.23 / $2,001.23	Professional		$2,001.23	$2,001.23	$2,001.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,554.41 / $1,828.72 / $2,011.59	Professional		$1,554.41	$1,828.72	$2,011.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,861.13 / $1,861.13 / $1,861.13	Facility		$1,861.13	$1,861.13	$1,861.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,861.13 / $1,861.13 / $1,861.13	Professional		$1,861.13	$1,861.13	$1,861.13