Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,427.92 / $1,427.92 / $1,427.92	Facility		$1,427.92	$1,427.92	$1,427.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,017.77 / $1,184.86 / $1,427.92	Professional		$1,017.77	$1,184.86	$1,427.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,181.67 / $2,758.73 / $3,448.42	Professional		$2,181.67	$2,758.73	$3,448.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,433.69 / $1,720.03 / $2,788.69	Facility		$1,433.69	$1,720.03	$2,788.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $774.72 / $987.39 / $2,989.52	Professional		$774.72	$987.39	$2,989.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,822.87 / $1,974.78 / $3,329.15	Facility		$1,822.87	$1,974.78	$3,329.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,822.87 / $2,308.96 / $3,129.26	Professional		$1,822.87	$2,308.96	$3,129.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,172.26 / $3,659.87 / $4,173.16	Professional		$2,172.26	$3,659.87	$4,173.16
United Facility/Professional Professional Modifier Low / Median / High Price $638.01 / $774.72 / $1,519.06	Professional		$638.01	$774.72	$1,519.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,519.06 / $1,519.06 / $1,519.06	Professional		$1,519.06	$1,519.06	$1,519.06