Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,493.20 / $4,493.20 / $4,493.20	Facility		$4,493.20	$4,493.20	$4,493.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,202.60 / $3,728.40 / $4,493.20	Professional		$3,202.60	$3,728.40	$4,493.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,529.57 / $9,529.57 / $9,529.57	Facility		$9,529.57	$9,529.57	$9,529.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,865.61 / $8,681.59 / $10,851.98	Professional		$6,865.61	$8,681.59	$10,851.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,511.35 / $5,412.39 / $8,775.12	Facility		$4,511.35	$5,412.39	$8,775.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,437.80 / $2,868.00 / $9,371.89	Professional		$2,437.80	$2,868.00	$9,371.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,168.26 / $9,099.83 / $12,236.80	Facility		$6,168.26	$9,099.83	$12,236.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,736.00 / $9,277.98 / $10,475.77	Professional		$5,736.00	$9,277.98	$10,475.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6,835.40 / $11,516.45 / $13,131.62	Professional		$6,835.40	$11,516.45	$13,131.62
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,437.80 / $4,780.00	Professional		$2,007.60	$2,437.80	$4,780.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $4,780.00	Professional		$4,780.00	$4,780.00	$4,780.00