Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $1,445.44	Facility		$1,023.29	$1,445.44	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,445.44	Professional		$691.83	$1,023.29	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,737.80	Facility		$1,096.48	$1,096.48	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,454.71	Professional		$1,995.26	$1,995.26	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $3,715.35	Facility		$1,174.90	$1,659.59	$3,715.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $977.24 / $8,128.31	Professional		$562.34	$977.24	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $1,698.24	Professional		$1,412.54	$1,698.24	$1,698.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,511.89	Professional		$1,412.54	$1,412.54	$2,511.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $1,862.09	Professional		$1,174.90	$1,412.54	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $933.25 / $1,737.80	Professional		$562.34	$933.25	$1,737.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56