Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,214.63	Facility		$1,214.63	$1,214.63	$1,214.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.00 / $1,214.63 / $1,402.50	Professional		$920.00	$1,214.63	$1,402.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,226.77 / $1,518.28	Professional		$1,214.63	$1,226.77	$1,518.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,260.21 / $2,052.71 / $5,203.28	Facility		$1,260.21	$2,052.71	$5,203.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,032.44 / $1,214.63 / $1,360.39	Professional		$1,032.44	$1,214.63	$1,360.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,302.85 / $1,302.85 / $1,302.85	Facility		$1,302.85	$1,302.85	$1,302.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,302.85 / $1,302.85 / $1,312.05	Professional		$1,302.85	$1,302.85	$1,312.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $630.04 / $1,238.93 / $1,238.93	Professional		$630.04	$1,238.93	$1,238.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,336.09	Professional		$1,214.63	$1,214.63	$1,336.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,214.63	Facility		$1,214.63	$1,214.63	$1,214.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,214.63	Professional		$1,214.63	$1,214.63	$1,214.63