Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $1,949.84	Facility		$1,318.26	$1,949.84	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,318.26 / $1,949.84	Professional		$812.83	$1,318.26	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $2,630.27	Facility		$1,122.02	$1,122.02	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,388.44	Professional		$2,691.53	$2,691.53	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $4,897.79	Facility		$1,548.82	$2,238.72	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,348.96 / $11,481.54	Professional		$724.44	$1,348.96	$11,481.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $2,630.27	Professional		$2,187.76	$2,630.27	$2,630.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,235.94	Professional		$2,187.76	$2,187.76	$3,235.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $2,398.83	Professional		$1,513.56	$1,819.70	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $2,398.83	Professional		$724.44	$1,202.26	$2,398.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23