Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Facility		$2,016.42	$2,016.42	$2,016.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,968.65 / $2,016.42 / $2,391.63	Professional		$1,968.65	$2,016.42	$2,391.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.55 / $2,016.42 / $2,451.94	Professional		$1,961.55	$2,016.42	$2,451.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,540.81 / $3,340.37 / $5,415.75	Facility		$2,540.81	$3,340.37	$5,415.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,680.07 / $1,976.55 / $2,016.42	Professional		$1,680.07	$1,976.55	$2,016.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,310.28 / $2,638.24 / $3,380.67	Facility		$2,310.28	$2,638.24	$3,380.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,009.76 / $2,310.28 / $4,534.25	Professional		$2,009.76	$2,310.28	$4,534.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,206.66 / $2,206.66 / $2,206.66	Professional		$2,206.66	$2,206.66	$2,206.66
United Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,218.06	Professional		$2,016.42	$2,016.42	$2,218.06
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,976.55 / $1,976.55 / $1,976.55	Facility		$1,976.55	$1,976.55	$1,976.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,976.55 / $1,976.55 / $1,976.55	Professional		$1,976.55	$1,976.55	$1,976.55