Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,398.13 / $1,398.13 / $1,398.13	Facility		$1,398.13	$1,398.13	$1,398.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $996.54 / $1,398.13 / $1,398.13	Professional		$996.54	$1,398.13	$1,398.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,965.02 / $2,965.02 / $2,965.02	Facility		$2,965.02	$2,965.02	$2,965.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,708.99 / $2,701.29 / $3,376.61	Professional		$1,708.99	$2,701.29	$3,376.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.61 / $1,403.77 / $7,065.01	Facility		$97.61	$1,403.77	$7,065.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.56 / $1,338.63 / $2,231.06	Professional		$758.56	$1,338.63	$2,231.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,784.84 / $2,727.24 / $2,831.55	Facility		$1,784.84	$2,727.24	$2,831.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,786.32 / $2,831.55 / $3,882.04	Professional		$1,786.32	$2,831.55	$3,882.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,487.37 / $3,583.52 / $4,086.10	Professional		$1,487.37	$3,583.52	$4,086.10
United Facility/Professional Professional Modifier Low / Median / High Price $624.70 / $892.42 / $1,784.84	Professional		$624.70	$892.42	$1,784.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,487.37 / $1,487.37 / $1,487.37	Professional		$1,487.37	$1,487.37	$1,487.37