Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,156.67 / $2,156.67 / $2,156.67	Facility		$2,156.67	$2,156.67	$2,156.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,786.07 / $2,156.67 / $2,572.46	Professional		$1,786.07	$2,156.67	$2,572.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,665.63 / $1,665.63 / $2,517.23	Facility		$1,665.63	$1,665.63	$2,517.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,985.00 / $2,985.00 / $3,731.25	Professional		$2,985.00	$2,985.00	$3,731.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,714.51 / $3,033.36 / $12,133.56	Facility		$1,714.51	$3,033.36	$12,133.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,049.43 / $1,752.23 / $2,715.98	Professional		$1,049.43	$1,752.23	$2,715.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,093.04 / $2,517.23 / $4,391.50	Facility		$2,093.04	$2,517.23	$4,391.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,245.42 / $2,552.66 / $4,810.35	Professional		$2,245.42	$2,552.66	$4,810.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,197.27 / $2,572.46 / $3,057.78	Professional		$2,197.27	$2,572.46	$3,057.78
United Facility/Professional Professional Modifier Low / Median / High Price $893.90 / $1,720.12 / $2,574.83	Professional		$893.90	$1,720.12	$2,574.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,242.63 / $2,242.63 / $2,242.63	Professional		$2,242.63	$2,242.63	$2,242.63