Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,590.54	Facility		$1,590.54	$1,590.54	$1,590.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,590.54	Professional		$1,590.54	$1,590.54	$1,590.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,521.25 / $2,521.25 / $3,151.56	Facility		$2,521.25	$2,521.25	$3,151.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,890.94 / $1,890.94 / $2,363.67	Professional		$1,890.94	$1,890.94	$2,363.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,653.82 / $2,794.96 / $3,000.00	Facility		$1,653.82	$2,794.96	$3,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,653.82 / $1,653.82 / $11,400.00	Professional		$1,653.82	$1,653.82	$11,400.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $190.18 / $213.25 / $2,224.39	Facility		$190.18	$213.25	$2,224.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $152.76 / $1,984.58 / $2,224.39	Professional		$152.76	$1,984.58	$2,224.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,740.59 / $1,740.59 / $1,740.59	Professional		$1,740.59	$1,740.59	$1,740.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,749.59	Professional		$1,590.54	$1,590.54	$1,749.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,653.82 / $1,653.82 / $1,653.82	Facility		$1,653.82	$1,653.82	$1,653.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,653.82 / $1,653.82 / $1,653.82	Professional		$1,653.82	$1,653.82	$1,653.82