Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $1,949.84	Professional		$1,122.02	$1,479.11	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,691.53	Facility		$1,513.56	$1,513.56	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,548.13	Professional		$2,818.38	$2,818.38	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $5,011.87	Facility		$1,862.09	$2,630.27	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $16,218.10	Professional		$1,047.13	$1,513.56	$16,218.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $2,630.27	Professional		$2,187.76	$2,630.27	$2,630.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $4,786.30	Professional		$2,187.76	$2,187.76	$4,786.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,691.53 / $3,548.13	Professional		$2,238.72	$2,691.53	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,630.27	Professional		$977.24	$1,318.26	$2,630.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23