Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,116.32	Facility		$2,116.32	$2,116.32	$2,116.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,137.48 / $2,557.02	Professional		$2,030.00	$2,137.48	$2,557.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,117.92 / $2,117.92 / $2,647.41	Professional		$2,117.92	$2,117.92	$2,647.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,098.00 / $3,021.93 / $5,790.28	Facility		$2,098.00	$3,021.93	$5,790.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,078.71 / $2,113.23 / $2,324.56	Professional		$2,078.71	$2,113.23	$2,324.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,877.10 / $2,535.89 / $3,618.84	Facility		$1,877.10	$2,535.89	$3,618.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,718.17 / $2,357.42 / $3,101.86	Professional		$1,718.17	$2,357.42	$3,101.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,004.98 / $2,315.96 / $2,315.96	Professional		$1,004.98	$2,315.96	$2,315.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,798.87 / $2,116.32 / $2,116.32	Professional		$1,798.87	$2,116.32	$2,116.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,113.23 / $2,113.23 / $2,113.23	Facility		$2,113.23	$2,113.23	$2,113.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,113.23 / $2,113.23 / $2,113.23	Professional		$2,113.23	$2,113.23	$2,113.23