Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,288.25 / $1,698.24	Professional		$758.58	$1,288.25	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $2,290.87	Facility		$954.99	$954.99	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,570.40	Professional		$2,041.74	$2,041.74	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $5,495.41	Facility		$1,380.38	$2,041.74	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $10,000.00	Professional		$812.83	$1,230.27	$10,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $2,238.72	Professional		$1,862.09	$2,238.72	$2,238.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $3,630.78	Professional		$1,862.09	$1,862.09	$3,630.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $2,691.53	Professional		$1,698.24	$2,041.74	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,148.15 / $1,819.70	Professional		$707.95	$1,148.15	$1,819.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26