Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $1,949.84	Facility		$1,288.25	$1,949.84	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $1,949.84	Professional		$776.25	$1,288.25	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,089.30	Facility		$1,513.56	$1,513.56	$2,089.30
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 $1,412.54 / $1,995.26 / $4,677.35	Facility		$1,412.54	$1,995.26	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $11,748.98	Professional		$707.95	$1,202.26	$11,748.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,089.30	Professional		$1,737.80	$2,041.74	$2,089.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,162.28	Professional		$1,737.80	$1,737.80	$3,162.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $2,344.23	Professional		$1,479.11	$1,778.28	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,174.90 / $2,344.23	Professional		$707.95	$1,174.90	$2,344.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09