Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Facility		$1,494.41	$1,494.41	$1,494.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Professional		$1,494.41	$1,494.41	$1,494.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,977.54 / $2,151.55 / $2,689.44	Facility		$1,977.54	$2,151.55	$2,689.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,522.54 / $1,579.81 / $1,903.17	Professional		$1,522.54	$1,579.81	$1,903.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,542.24 / $2,606.39 / $2,830.80	Facility		$1,542.24	$2,606.39	$2,830.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,542.24 / $7,066.85	Professional		$1,494.41	$1,542.24	$7,066.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,793.22 / $2,072.46 / $2,400.91	Facility		$1,793.22	$2,072.46	$2,400.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,519.72 / $1,850.69 / $2,072.46	Professional		$1,519.72	$1,850.69	$2,072.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,635.39 / $1,635.39 / $1,635.39	Professional		$1,635.39	$1,635.39	$1,635.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,643.85	Professional		$1,494.41	$1,494.41	$1,643.85
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,542.24 / $1,542.24 / $1,542.24	Facility		$1,542.24	$1,542.24	$1,542.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,542.24 / $1,542.24 / $1,542.24	Professional		$1,542.24	$1,542.24	$1,542.24