Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,543.11 / $2,543.11 / $2,543.11	Facility		$2,543.11	$2,543.11	$2,543.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,543.11 / $2,585.98 / $3,142.63	Professional		$2,543.11	$2,585.98	$3,142.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,552.76 / $1,552.76 / $3,644.62	Facility		$1,552.76	$1,552.76	$3,644.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,519.75 / $3,644.62 / $4,399.68	Professional		$3,519.75	$3,644.62	$4,399.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,264.23 / $3,537.69 / $13,558.52	Facility		$2,264.23	$3,537.69	$13,558.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,282.03 / $1,966.19 / $3,709.75	Professional		$1,282.03	$1,966.19	$3,709.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,030.43 / $3,644.62 / $4,768.72	Facility		$3,030.43	$3,644.62	$4,768.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,852.54 / $3,695.92 / $6,964.78	Professional		$2,852.54	$3,695.92	$6,964.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,684.29 / $3,142.63 / $3,735.51	Professional		$2,684.29	$3,142.63	$3,735.51
United Facility/Professional Professional Modifier Low / Median / High Price $970.69 / $1,867.88 / $2,675.75	Professional		$970.69	$1,867.88	$2,675.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,247.02 / $3,247.02 / $3,247.02	Professional		$3,247.02	$3,247.02	$3,247.02