Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $4,073.80	Facility		$3,388.44	$3,388.44	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,754.23 / $4,168.69	Professional		$2,398.83	$2,754.23	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,918.31 / $8,709.64	Professional		$5,011.87	$6,918.31	$8,709.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $6,606.93	Facility		$3,388.44	$4,073.80	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $18,197.01	Professional		$1,819.70	$2,137.96	$18,197.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $8,317.64 / $10,000.00	Professional		$5,128.61	$8,317.64	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $4,168.69	Professional		$1,513.56	$2,137.96	$4,168.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78