Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Facility		$1,640.93	$1,640.93	$1,640.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,221.25 / $2,221.25 / $2,776.56	Facility		$2,221.25	$2,221.25	$2,776.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.24 / $410.30 / $416.86	Professional		$328.24	$410.30	$416.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $2,773.17 / $2,856.37	Facility		$1,640.93	$2,773.17	$2,856.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $5,857.77	Professional		$1,640.93	$1,640.93	$5,857.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $386.58 / $1,836.45 / $2,059.16	Facility		$386.58	$1,836.45	$2,059.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $386.58 / $1,969.11 / $1,969.11	Professional		$386.58	$1,969.11	$1,969.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,795.74 / $1,795.74 / $1,795.74	Professional		$1,795.74	$1,795.74	$1,795.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,805.02	Professional		$1,640.93	$1,640.93	$1,805.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Facility		$1,640.93	$1,640.93	$1,640.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93