Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,684.80 / $3,684.80 / $3,684.80	Facility		$3,684.80	$3,684.80	$3,684.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,057.60 / $3,684.80 / $3,920.00	Professional		$3,057.60	$3,684.80	$3,920.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,630.74 / $7,120.09 / $8,900.11	Professional		$5,630.74	$7,120.09	$8,900.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,439.58 / $4,064.96 / $6,590.52	Facility		$3,439.58	$4,064.96	$6,590.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,999.20 / $2,352.00 / $7,714.56	Professional		$1,999.20	$2,352.00	$7,714.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,704.00 / $6,589.46 / $15,961.86	Facility		$4,704.00	$6,589.46	$15,961.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,704.00 / $7,395.40 / $15,961.86	Professional		$4,704.00	$7,395.40	$15,961.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,605.60 / $9,444.45 / $10,769.02	Professional		$5,605.60	$9,444.45	$10,769.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,507.80 / $2,352.00 / $3,853.87	Professional		$1,507.80	$2,352.00	$3,853.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $2,919.60	Professional		$2,919.60	$2,919.60	$2,919.60