Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Facility		$1,237.28	$1,237.28	$1,237.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Professional		$1,237.28	$1,237.28	$1,237.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,780.25 / $1,780.25 / $2,225.31	Facility		$1,780.25	$1,780.25	$2,225.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.91 / $1,237.28 / $1,344.89	Professional		$1,075.91	$1,237.28	$1,344.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.56 / $2,011.84 / $2,072.19	Facility		$106.56	$2,011.84	$2,072.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,190.44 / $1,190.44 / $5,119.78	Professional		$1,190.44	$1,190.44	$5,119.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,267.16 / $1,507.50 / $2,012.32	Facility		$1,267.16	$1,507.50	$2,012.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $474.39 / $1,428.53 / $2,012.32	Professional		$474.39	$1,428.53	$2,012.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,354.01 / $1,354.01 / $1,354.01	Professional		$1,354.01	$1,354.01	$1,354.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,361.01	Professional		$1,237.28	$1,237.28	$1,361.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,190.44 / $1,190.44 / $1,190.44	Facility		$1,190.44	$1,190.44	$1,190.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,190.44 / $1,190.44 / $1,190.44	Professional		$1,190.44	$1,190.44	$1,190.44