Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,588.06 / $2,588.06 / $2,588.06	Facility		$2,588.06	$2,588.06	$2,588.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,844.68 / $2,147.54 / $2,588.06	Professional		$1,844.68	$2,147.54	$2,588.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,488.74 / $5,488.74 / $5,488.74	Facility		$5,488.74	$5,488.74	$5,488.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,954.99 / $5,001.10 / $6,251.38	Professional		$3,954.99	$5,001.10	$6,251.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,598.52 / $3,117.51 / $5,054.42	Facility		$2,598.52	$3,117.51	$5,054.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,404.16 / $1,651.95 / $5,418.21	Professional		$1,404.16	$1,651.95	$5,418.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,552.89 / $5,035.01 / $6,033.98	Facility		$3,552.89	$5,035.01	$6,033.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,303.90 / $5,035.01 / $6,033.98	Professional		$3,303.90	$5,035.01	$6,033.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,937.15 / $6,633.41 / $7,563.73	Professional		$3,937.15	$6,633.41	$7,563.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,156.36 / $1,651.95 / $2,753.25	Professional		$1,156.36	$1,651.95	$2,753.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,753.25 / $2,753.25 / $2,753.25	Professional		$2,753.25	$2,753.25	$2,753.25