Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,751.43 / $1,751.43 / $1,751.43	Facility		$1,751.43	$1,751.43	$1,751.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,453.31 / $1,751.43 / $1,751.43	Professional		$1,453.31	$1,751.43	$1,751.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,676.24 / $3,384.12 / $4,230.14	Professional		$2,676.24	$3,384.12	$4,230.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,758.51 / $2,109.73 / $3,420.51	Facility		$1,758.51	$2,109.73	$3,420.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $950.24 / $1,117.93 / $9,278.84	Professional		$950.24	$1,117.93	$9,278.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,235.86 / $2,292.62 / $4,769.84	Facility		$2,235.86	$2,292.62	$4,769.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,235.86 / $2,235.86 / $3,838.23	Professional		$2,235.86	$2,235.86	$3,838.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,815.69 / $4,489.06 / $5,118.64	Professional		$3,815.69	$4,489.06	$5,118.64
United Facility/Professional Professional Modifier Low / Median / High Price $782.55 / $950.24 / $1,863.22	Professional		$782.55	$950.24	$1,863.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,863.22 / $1,863.22 / $1,863.22	Professional		$1,863.22	$1,863.22	$1,863.22