Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Facility		$1,452.25	$1,452.25	$1,452.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Professional		$1,452.25	$1,452.25	$1,452.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,262.30 / $1,262.30 / $1,577.88	Facility		$1,262.30	$1,262.30	$1,577.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,806.19 / $1,806.19 / $2,257.73	Professional		$1,806.19	$1,806.19	$2,257.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,725.04 / $2,915.32 / $3,002.78	Facility		$1,725.04	$2,915.32	$3,002.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,644.99 / $1,725.04 / $6,878.66	Professional		$1,644.99	$1,725.04	$6,878.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,973.99 / $2,070.05 / $2,336.98	Facility		$1,973.99	$2,070.05	$2,336.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $303.76 / $2,070.05 / $2,186.60	Professional		$303.76	$2,070.05	$2,186.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,589.26 / $1,589.26 / $1,589.26	Professional		$1,589.26	$1,589.26	$1,589.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,597.48	Professional		$1,452.25	$1,452.25	$1,597.48
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,725.04 / $1,725.04 / $1,725.04	Facility		$1,725.04	$1,725.04	$1,725.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,725.04 / $1,725.04 / $1,725.04	Professional		$1,725.04	$1,725.04	$1,725.04