Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,174.90	Professional		$616.60	$891.25	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,778.28	Facility		$1,122.02	$1,122.02	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,290.87	Professional		$1,862.09	$1,862.09	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $3,019.95	Facility		$1,202.26	$1,621.81	$3,019.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,000.00 / $7,943.28	Professional		$645.65	$1,000.00	$7,943.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $1,737.80	Professional		$1,445.44	$1,737.80	$1,737.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,884.03	Professional		$1,445.44	$1,445.44	$2,884.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $2,137.96	Professional		$1,348.96	$1,621.81	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,698.24	Professional		$630.96	$794.33	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82