Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,591.34 / $2,591.34 / $2,591.34	Facility		$2,591.34	$2,591.34	$2,591.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,150.81 / $2,591.34 / $2,591.34	Professional		$2,150.81	$2,591.34	$2,591.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.63 / $787.03 / $787.03	Professional		$629.63	$787.03	$787.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $675.78 / $2,964.49 / $6,390.26	Facility		$675.78	$2,964.49	$6,390.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $563.15 / $2,159.44 / $2,375.40	Professional		$563.15	$2,159.44	$2,375.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $675.78 / $794.28 / $3,855.50	Facility		$675.78	$794.28	$3,855.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $651.57 / $990.31 / $1,585.55	Professional		$651.57	$990.31	$1,585.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Professional		$2,202.64	$2,202.64	$2,202.64
United Facility/Professional Professional Modifier Low / Median / High Price $2,159.44 / $2,159.44 / $2,375.40	Professional		$2,159.44	$2,159.44	$2,375.40
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,159.44 / $2,159.44 / $2,159.44	Facility		$2,159.44	$2,159.44	$2,159.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,159.44 / $2,159.44 / $2,159.44	Professional		$2,159.44	$2,159.44	$2,159.44