Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,406.03 / $1,406.03 / $1,406.03	Facility		$1,406.03	$1,406.03	$1,406.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,287.85 / $1,406.03 / $1,810.13	Professional		$1,287.85	$1,406.03	$1,810.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.63 / $908.63 / $1,815.07	Facility		$908.63	$908.63	$1,815.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,945.88 / $1,945.88 / $2,432.34	Professional		$1,945.88	$1,945.88	$2,432.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,127.61 / $3,059.12 / $7,783.07	Facility		$1,127.61	$3,059.12	$7,783.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $738.44 / $1,150.56 / $1,886.22	Professional		$738.44	$1,150.56	$1,886.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,509.21 / $1,815.07 / $2,790.52	Facility		$1,509.21	$1,815.07	$2,790.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,580.01 / $1,840.64 / $3,468.58	Professional		$1,580.01	$1,840.64	$3,468.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,546.11 / $1,810.13 / $2,151.62	Professional		$1,546.11	$1,810.13	$2,151.62
United Facility/Professional Professional Modifier Low / Median / High Price $568.02 / $967.27 / $1,541.21	Professional		$568.02	$967.27	$1,541.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,617.06 / $1,617.06 / $1,617.06	Professional		$1,617.06	$1,617.06	$1,617.06