Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Facility		$2,068.46	$2,068.46	$2,068.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Professional		$2,068.46	$2,068.46	$2,068.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.15 / $239.15 / $298.94	Facility		$239.15	$239.15	$298.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.36 / $224.20 / $227.79	Professional		$179.36	$224.20	$227.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,220.57 / $3,752.76 / $3,865.35	Facility		$2,220.57	$3,752.76	$3,865.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,220.57 / $2,220.57 / $11,634.00	Professional		$2,220.57	$2,220.57	$11,634.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $242.12 / $271.48 / $2,664.69	Facility		$242.12	$271.48	$2,664.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $237.68 / $474.39 / $2,664.69	Professional		$237.68	$474.39	$2,664.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,263.61 / $2,263.61 / $2,263.61	Professional		$2,263.61	$2,263.61	$2,263.61
United Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,275.32	Professional		$2,068.46	$2,068.46	$2,275.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,220.57 / $2,220.57 / $2,220.57	Facility		$2,220.57	$2,220.57	$2,220.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,220.57 / $2,220.57 / $2,220.57	Professional		$2,220.57	$2,220.57	$2,220.57