Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,097.59 / $2,097.59 / $2,097.59	Facility		$2,097.59	$2,097.59	$2,097.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,845.01 / $2,097.59 / $2,308.36	Professional		$1,845.01	$2,097.59	$2,308.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $2,600.30	Facility		$1,620.00	$1,620.00	$2,600.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,903.25 / $2,903.25 / $3,629.06	Professional		$2,903.25	$2,903.25	$3,629.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,997.38 / $2,687.71 / $11,250.63	Facility		$1,997.38	$2,687.71	$11,250.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $941.69 / $1,572.34 / $2,702.25	Professional		$941.69	$1,572.34	$2,702.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,162.12 / $2,600.30 / $4,006.17	Facility		$2,162.12	$2,600.30	$4,006.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,129.67 / $2,636.91 / $4,969.16	Professional		$2,129.67	$2,636.91	$4,969.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,971.69 / $2,308.36 / $2,743.85	Professional		$1,971.69	$2,308.36	$2,743.85
United Facility/Professional Professional Modifier Low / Median / High Price $815.47 / $1,388.64 / $1,965.42	Professional		$815.47	$1,388.64	$1,965.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,316.63 / $2,316.63 / $2,316.63	Professional		$2,316.63	$2,316.63	$2,316.63