Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Facility		$1,172.56	$1,172.56	$1,172.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Professional		$1,172.56	$1,172.56	$1,172.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,411.20 / $1,411.20 / $1,764.00	Facility		$1,411.20	$1,411.20	$1,764.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.40 / $1,172.56 / $1,323.00	Professional		$1,058.40	$1,172.56	$1,323.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $221.14 / $1,969.51 / $2,028.59	Facility		$221.14	$1,969.51	$2,028.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,165.39 / $1,165.39 / $4,725.00	Professional		$1,165.39	$1,165.39	$4,725.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.28 / $148.32 / $1,431.00	Facility		$132.28	$148.32	$1,431.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $132.28 / $1,398.47 / $1,431.00	Professional		$132.28	$1,398.47	$1,431.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,283.18 / $1,283.18 / $1,283.18	Professional		$1,283.18	$1,283.18	$1,283.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,289.82	Professional		$1,172.56	$1,172.56	$1,289.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,165.39 / $1,165.39 / $1,165.39	Facility		$1,165.39	$1,165.39	$1,165.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,165.39 / $1,165.39 / $1,165.39	Professional		$1,165.39	$1,165.39	$1,165.39