Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,730.32	Facility		$1,730.32	$1,730.32	$1,730.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,747.63 / $2,180.19	Professional		$1,730.32	$1,747.63	$2,180.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,701.83 / $1,730.32 / $2,127.28	Professional		$1,701.83	$1,730.32	$2,127.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,563.42 / $2,484.05 / $4,759.64	Facility		$1,563.42	$2,484.05	$4,759.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,859.39 / $1,933.76	Professional		$1,730.32	$1,859.39	$1,933.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,219.61 / $2,084.52 / $2,916.87	Facility		$1,219.61	$2,084.52	$2,916.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $989.39 / $1,900.12 / $2,500.16	Professional		$989.39	$1,900.12	$2,500.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $602.25 / $1,893.56 / $1,893.56	Professional		$602.25	$1,893.56	$1,893.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,926.21	Professional		$1,730.32	$1,730.32	$1,926.21
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,737.10 / $1,737.10 / $1,737.10	Facility		$1,737.10	$1,737.10	$1,737.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.10 / $1,737.10 / $1,737.10	Professional		$1,737.10	$1,737.10	$1,737.10