Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,515.00 / $4,515.00 / $4,515.00	Professional		$4,515.00	$4,515.00	$4,515.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,017.60 / $7,017.60 / $7,017.60	Facility		$7,017.60	$7,017.60	$7,017.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,085.37 / $6,393.52 / $7,991.90	Professional		$4,085.37	$6,393.52	$7,991.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,322.18 / $3,985.70 / $16,720.00	Facility		$3,322.18	$3,985.70	$16,720.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,795.20 / $3,168.00 / $5,280.00	Professional		$1,795.20	$3,168.00	$5,280.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,224.00 / $6,437.20 / $7,670.72	Facility		$4,224.00	$6,437.20	$7,670.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,227.49 / $7,670.72 / $9,187.20	Professional		$4,227.49	$7,670.72	$9,187.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,520.00 / $8,480.74 / $9,670.14	Professional		$3,520.00	$8,480.74	$9,670.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,478.40 / $2,112.00 / $4,646.39	Professional		$1,478.40	$2,112.00	$4,646.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,520.00 / $3,520.00 / $3,520.00	Professional		$3,520.00	$3,520.00	$3,520.00