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 $895.05 / $1,053.00 / $3,453.73	Professional		$895.05	$1,053.00	$3,453.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,264.71 / $2,535.00 / $3,846.23	Facility		$2,264.71	$2,535.00	$3,846.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,264.71 / $3,209.46 / $3,846.23	Professional		$2,264.71	$3,209.46	$3,846.23
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 / $895.05 / $1,755.00	Professional		$819.00	$895.05	$1,755.00
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