Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $3,630.78 / $3,630.78	Facility		$478.63	$3,630.78	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $2,137.96 / $3,630.78	Professional		$478.63	$2,137.96	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,025.60 / $7,585.78	Professional		$4,466.84	$6,025.60	$7,585.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,548.13 / $5,754.40	Facility		$2,951.21	$3,548.13	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $15,848.93	Professional		$1,621.81	$1,905.46	$15,848.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $7,413.10 / $8,709.64	Professional		$4,466.84	$7,413.10	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $3,630.78	Professional		$1,318.26	$1,905.46	$3,630.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28