Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,649.70 / $1,649.70 / $1,649.70	Facility		$1,649.70	$1,649.70	$1,649.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,368.90 / $1,649.70 / $1,649.70	Professional		$1,368.90	$1,649.70	$1,649.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,887.42 / $3,887.42 / $3,887.42	Facility		$3,887.42	$3,887.42	$3,887.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,800.66 / $3,541.44 / $4,426.80	Professional		$2,800.66	$3,541.44	$4,426.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,656.37 / $2,207.98 / $3,579.81	Facility		$1,656.37	$2,207.98	$3,579.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $994.50 / $1,053.00 / $3,837.02	Professional		$994.50	$1,053.00	$3,837.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,516.34 / $3,209.46 / $4,992.00	Facility		$2,516.34	$3,209.46	$4,992.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $3,209.46 / $4,273.59	Professional		$2,340.00	$3,209.46	$4,273.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,509.65 / $4,588.45 / $5,357.04	Professional		$2,509.65	$4,588.45	$5,357.04
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $994.50 / $1,950.00	Professional		$819.00	$994.50	$1,950.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Professional		$1,950.00	$1,950.00	$1,950.00