Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,666.54 / $2,666.54 / $2,666.54	Professional		$2,666.54	$2,666.54	$2,666.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,116.24 / $15,116.24 / $15,116.24	Facility		$15,116.24	$15,116.24	$15,116.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,890.81 / $13,771.47 / $17,214.34	Professional		$10,890.81	$13,771.47	$17,214.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $7,156.08 / $8,585.32 / $13,919.39	Facility		$7,156.08	$8,585.32	$13,919.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,866.92 / $4,549.32 / $14,921.27	Professional		$3,866.92	$4,549.32	$14,921.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9,784.32 / $13,865.95 / $16,617.03	Facility		$9,784.32	$13,865.95	$16,617.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9,098.64 / $13,865.95 / $16,617.03	Professional		$9,098.64	$13,865.95	$16,617.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10,842.55 / $18,267.79 / $20,829.82	Professional		$10,842.55	$18,267.79	$20,829.82
United Facility/Professional Professional Modifier Low / Median / High Price $3,184.52 / $3,866.92 / $11,373.30	Professional		$3,184.52	$3,866.92	$11,373.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,582.20 / $7,582.20 / $7,582.20	Professional		$7,582.20	$7,582.20	$7,582.20