Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,437.19 / $2,437.19 / $2,437.19	Facility		$2,437.19	$2,437.19	$2,437.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,372.52 / $2,437.19 / $3,357.28	Professional		$2,372.52	$2,437.19	$3,357.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,050.41 / $2,050.41 / $3,343.78	Facility		$2,050.41	$2,050.41	$3,343.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,373.13 / $3,406.86 / $4,216.41	Professional		$3,373.13	$3,406.86	$4,216.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,200.67 / $3,675.87 / $15,093.28	Facility		$2,200.67	$3,675.87	$15,093.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,369.59 / $2,259.73 / $3,474.85	Professional		$1,369.59	$2,259.73	$3,474.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,780.28 / $3,343.78 / $5,480.71	Facility		$2,780.28	$3,343.78	$5,480.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,930.47 / $3,390.84 / $6,389.89	Professional		$2,930.47	$3,390.84	$6,389.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,867.61 / $3,357.28 / $3,990.66	Professional		$2,867.61	$3,357.28	$3,990.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,115.61 / $1,899.75 / $2,858.50	Professional		$1,115.61	$1,899.75	$2,858.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,979.00 / $2,979.00 / $2,979.00	Professional		$2,979.00	$2,979.00	$2,979.00