Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,467.37 / $3,467.37	Facility		$2,137.96	$3,467.37	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,290.87 / $2,818.38	Professional		$2,041.74	$2,290.87	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,754.40 / $7,244.36	Professional		$4,265.80	$5,754.40	$7,244.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,467.37 / $5,623.41	Facility		$2,884.03	$3,467.37	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $15,135.61	Professional		$1,548.82	$1,819.70	$15,135.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $7,079.46 / $8,317.64	Professional		$4,365.16	$7,079.46	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $3,467.37	Professional		$1,258.93	$1,819.70	$3,467.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95