Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,832.04 / $1,832.04 / $1,832.04	Facility		$1,832.04	$1,832.04	$1,832.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,582.85 / $1,832.04 / $1,838.02	Professional		$1,582.85	$1,832.04	$1,838.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,549.06 / $1,549.06 / $2,771.62	Facility		$1,549.06	$1,549.06	$2,771.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,056.63 / $3,056.63 / $3,820.78	Professional		$3,056.63	$3,056.63	$3,820.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,838.02 / $3,028.86 / $12,388.80	Facility		$1,838.02	$3,028.86	$12,388.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,065.83 / $1,713.86 / $2,792.54	Professional		$1,065.83	$1,713.86	$2,792.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,304.56 / $2,771.62 / $4,515.26	Facility		$2,304.56	$2,771.62	$4,515.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,291.92 / $2,810.64 / $5,296.52	Professional		$2,291.92	$2,810.64	$5,296.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,242.77 / $2,625.74 / $3,121.11	Professional		$2,242.77	$2,625.74	$3,121.11
United Facility/Professional Professional Modifier Low / Median / High Price $919.10 / $1,369.47 / $2,636.69	Professional		$919.10	$1,369.47	$2,636.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,469.26 / $2,469.26 / $2,469.26	Professional		$2,469.26	$2,469.26	$2,469.26