Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,121.00 / $2,121.00 / $4,145.00	Professional		$2,121.00	$2,121.00	$4,145.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,041.01 / $6,041.01 / $6,041.01	Facility		$6,041.01	$6,041.01	$6,041.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,351.99 / $5,503.10 / $6,878.88	Professional		$4,351.99	$5,503.10	$6,878.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,859.71 / $3,430.87 / $5,562.47	Facility		$2,859.71	$3,430.87	$5,562.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,545.30 / $1,969.50 / $5,962.85	Professional		$1,545.30	$1,969.50	$5,962.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,636.00 / $3,939.00 / $6,640.50	Facility		$3,636.00	$3,939.00	$6,640.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,636.00 / $5,541.11 / $6,640.50	Professional		$3,636.00	$5,541.11	$6,640.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,332.89 / $7,300.18 / $8,324.02	Professional		$4,332.89	$7,300.18	$8,324.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,272.59 / $1,545.30 / $3,030.00	Professional		$1,272.59	$1,545.30	$3,030.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,030.00 / $3,030.00 / $3,030.00	Professional		$3,030.00	$3,030.00	$3,030.00