Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,697.59 / $1,697.59 / $1,697.59	Facility		$1,697.59	$1,697.59	$1,697.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,502.79 / $1,697.59 / $1,821.98	Professional		$1,502.79	$1,697.59	$1,821.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,499.97 / $1,499.97 / $2,631.45	Facility		$1,499.97	$1,499.97	$2,631.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,832.38 / $2,832.38 / $3,540.47	Professional		$2,832.38	$2,832.38	$3,540.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,821.98 / $2,944.84 / $12,090.55	Facility		$1,821.98	$2,944.84	$12,090.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,036.08 / $1,698.91 / $2,714.61	Professional		$1,036.08	$1,698.91	$2,714.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,188.00 / $2,631.45 / $4,389.26	Facility		$2,188.00	$2,631.45	$4,389.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,271.94 / $2,668.48 / $5,028.64	Professional		$2,271.94	$2,668.48	$5,028.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,223.21 / $2,602.83 / $3,093.88	Professional		$2,223.21	$2,602.83	$3,093.88
United Facility/Professional Professional Modifier Low / Median / High Price $893.45 / $1,331.25 / $2,714.61	Professional		$893.45	$1,331.25	$2,714.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,344.39 / $2,344.39 / $2,344.39	Professional		$2,344.39	$2,344.39	$2,344.39