Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Facility		$1,393.12	$1,393.12	$1,393.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,808.00 / $2,808.00 / $3,510.00	Facility		$2,808.00	$2,808.00	$3,510.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,106.00 / $2,106.00 / $2,632.50	Professional		$2,106.00	$2,106.00	$2,632.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,713.18 / $2,895.27 / $2,982.14	Facility		$1,713.18	$2,895.27	$2,982.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,608.27 / $1,713.18 / $8,892.00	Professional		$1,608.27	$1,713.18	$8,892.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,929.92 / $1,929.92 / $2,055.82	Facility		$1,929.92	$1,929.92	$2,055.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,929.92 / $2,055.82 / $2,055.82	Professional		$1,929.92	$2,055.82	$2,055.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,524.54 / $1,524.54 / $1,524.54	Professional		$1,524.54	$1,524.54	$1,524.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,532.43	Professional		$1,393.12	$1,393.12	$1,532.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,713.18 / $1,713.18 / $1,713.18	Facility		$1,713.18	$1,713.18	$1,713.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,713.18 / $1,713.18 / $1,713.18	Professional		$1,713.18	$1,713.18	$1,713.18