Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Facility		$1,969.89	$1,969.89	$1,969.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Professional		$1,969.89	$1,969.89	$1,969.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,787.58	Professional		$1,969.89	$1,969.89	$2,787.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,789.55 / $3,024.34 / $3,115.06	Facility		$1,789.55	$3,024.34	$3,115.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,789.55 / $1,789.55 / $9,454.20	Professional		$1,789.55	$1,789.55	$9,454.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,147.44 / $2,147.44 / $2,147.44	Facility		$2,147.44	$2,147.44	$2,147.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $612.51 / $2,147.44 / $2,147.44	Professional		$612.51	$2,147.44	$2,147.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,155.71 / $2,155.71 / $2,155.71	Professional		$2,155.71	$2,155.71	$2,155.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,166.88	Professional		$1,969.89	$1,969.89	$2,166.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,789.55 / $1,789.55 / $1,789.55	Facility		$1,789.55	$1,789.55	$1,789.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,789.55 / $1,789.55 / $1,789.55	Professional		$1,789.55	$1,789.55	$1,789.55