Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Facility		$1,902.62	$1,902.62	$1,902.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Professional		$1,902.62	$1,902.62	$1,902.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,348.30 / $3,348.30 / $4,185.38	Facility		$3,348.30	$3,348.30	$4,185.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,394.26 / $2,418.21 / $2,992.83	Professional		$2,394.26	$2,418.21	$2,992.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,038.50 / $3,445.07 / $3,548.43	Facility		$2,038.50	$3,445.07	$3,548.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,038.50 / $2,038.50 / $10,260.00	Professional		$2,038.50	$2,038.50	$10,260.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.45 / $105.90 / $2,819.91	Facility		$94.45	$105.90	$2,819.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $2,446.19 / $2,819.91	Professional		$94.45	$2,446.19	$2,819.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,082.12 / $2,082.12 / $2,082.12	Professional		$2,082.12	$2,082.12	$2,082.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,092.88	Professional		$1,902.62	$1,902.62	$2,092.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,038.50 / $2,038.50 / $2,038.50	Facility		$2,038.50	$2,038.50	$2,038.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,038.50 / $2,038.50 / $2,038.50	Professional		$2,038.50	$2,038.50	$2,038.50