Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,584.89	Professional		$1,412.54	$1,412.54	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $2,089.30 / $2,630.27	Facility		$169.82	$2,089.30	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,137.96	Professional		$1,698.24	$1,698.24	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $2,454.71	Facility		$1,380.38	$2,041.74	$2,454.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $6,606.93	Professional		$1,380.38	$1,380.38	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $204.17	Facility		$169.82	$169.82	$204.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $275.42 / $1,445.44	Professional		$125.89	$275.42	$1,445.44
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54