Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,500.00 / $2,500.00	Professional		$2,500.00	$2,500.00	$2,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,984.87 / $5,984.87 / $5,984.87	Facility		$5,984.87	$5,984.87	$5,984.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,312.24 / $5,452.84 / $6,816.05	Professional		$4,312.24	$5,452.84	$6,816.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,833.37 / $3,399.27 / $5,511.24	Facility		$2,833.37	$3,399.27	$5,511.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,531.07 / $1,801.25 / $6,542.11	Professional		$1,531.07	$1,801.25	$6,542.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,873.99 / $5,490.07 / $6,579.33	Facility		$3,873.99	$5,490.07	$6,579.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,602.51 / $5,490.07 / $6,579.33	Professional		$3,602.51	$5,490.07	$6,579.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,292.99 / $7,232.94 / $8,247.34	Professional		$4,292.99	$7,232.94	$8,247.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,260.88 / $1,531.07 / $3,002.09	Professional		$1,260.88	$1,531.07	$3,002.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,002.09 / $3,002.09 / $3,002.09	Professional		$3,002.09	$3,002.09	$3,002.09