Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Facility		$1,427.45	$1,427.45	$1,427.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Professional		$1,427.45	$1,427.45	$1,427.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $2,088.00 / $2,610.00	Facility		$2,088.00	$2,088.00	$2,610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,692.08 / $1,692.08 / $2,115.09	Professional		$1,692.08	$1,692.08	$2,115.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,370.73 / $2,316.53 / $2,386.03	Facility		$1,370.73	$2,316.53	$2,386.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,370.73 / $1,370.73 / $6,612.00	Professional		$1,370.73	$1,370.73	$6,612.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,644.88 / $1,897.42 / $2,189.33	Facility		$1,644.88	$1,897.42	$2,189.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,644.88 / $1,644.88 / $1,664.50	Professional		$1,644.88	$1,644.88	$1,664.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,562.11 / $1,562.11 / $1,562.11	Professional		$1,562.11	$1,562.11	$1,562.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,926.61	Professional		$1,427.45	$1,427.45	$1,926.61
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,370.73 / $1,370.73 / $1,370.73	Facility		$1,370.73	$1,370.73	$1,370.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,370.73 / $1,370.73 / $1,370.73	Professional		$1,370.73	$1,370.73	$1,370.73