Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,096.48	Facility		$912.01	$1,096.48	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,584.89	Professional		$575.44	$831.76	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,584.89	Facility		$912.01	$912.01	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,238.72	Professional		$1,819.70	$1,819.70	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $2,344.23	Facility		$1,122.02	$1,348.96	$2,344.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $812.83 / $7,244.36	Professional		$501.19	$812.83	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,584.89	Professional		$1,318.26	$1,548.82	$1,584.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,290.87	Professional		$1,318.26	$1,318.26	$2,290.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,659.59	Professional		$1,047.13	$1,258.93	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $1,584.89	Professional		$501.19	$741.31	$1,584.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54