Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,323.35	Facility		$1,323.35	$1,323.35	$1,323.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,665.92	Professional		$1,323.35	$1,323.35	$1,665.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,471.80 / $1,486.52 / $1,839.75	Professional		$1,471.80	$1,486.52	$1,839.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $629.25 / $1,968.81 / $2,753.58	Facility		$629.25	$1,968.81	$2,753.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,376.79 / $1,532.66 / $6,148.12	Professional		$1,376.79	$1,532.66	$6,148.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,344.00 / $2,040.99 / $2,386.73	Facility		$1,344.00	$2,040.99	$2,386.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,447.26 / $1,742.92 / $2,144.48	Professional		$1,447.26	$1,742.92	$2,144.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,434.11 / $1,448.19 / $1,448.19	Professional		$1,434.11	$1,448.19	$1,448.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,402.75 / $1,620.49	Professional		$1,323.35	$1,402.75	$1,620.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,506.67 / $1,506.67 / $1,506.67	Facility		$1,506.67	$1,506.67	$1,506.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,506.67 / $1,506.67 / $1,506.67	Professional		$1,506.67	$1,506.67	$1,506.67