Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,513.56	Facility		$1,258.93	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,258.93 / $1,659.59	Professional		$758.58	$1,258.93	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,995.26	Facility		$1,258.93	$1,258.93	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,570.40	Professional		$2,089.30	$2,089.30	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $4,570.88	Facility		$1,380.38	$1,905.46	$4,570.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $9,549.93	Professional		$676.08	$1,148.15	$9,549.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $1,949.84	Professional		$1,621.81	$1,949.84	$1,949.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $3,090.30	Professional		$1,621.81	$1,621.81	$3,090.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $2,290.87	Professional		$1,445.44	$1,698.24	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $1,819.70	Professional		$676.08	$1,148.15	$1,819.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80