Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,737.80	Professional		$891.25	$1,258.93	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,290.87	Facility		$1,318.26	$1,318.26	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,162.28	Professional		$2,570.40	$2,570.40	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,290.87 / $4,466.84	Facility		$1,548.82	$2,290.87	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $12,022.64	Professional		$912.01	$1,288.25	$12,022.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $2,238.72	Professional		$1,862.09	$2,238.72	$2,238.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $4,265.80	Professional		$1,862.09	$1,862.09	$4,265.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $3,162.28	Professional		$1,995.26	$2,398.83	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $2,344.23	Professional		$870.96	$1,202.26	$2,344.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26