Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,761.42 / $6,761.42 / $6,761.42	Facility		$6,761.42	$6,761.42	$6,761.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,819.31 / $5,610.54 / $6,761.42	Professional		$4,819.31	$5,610.54	$6,761.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,340.06 / $14,340.06 / $14,340.06	Facility		$14,340.06	$14,340.06	$14,340.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,110.57 / $13,064.49 / $16,330.61	Professional		$10,110.57	$13,064.49	$16,330.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,788.75 / $8,144.63 / $13,204.91	Facility		$6,788.75	$8,144.63	$13,204.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,668.43 / $4,315.80 / $13,185.91	Professional		$3,668.43	$4,315.80	$13,185.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8,631.60 / $9,350.90 / $15,764.07	Facility		$8,631.60	$9,350.90	$15,764.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,631.60 / $12,070.21 / $15,764.07	Professional		$8,631.60	$12,070.21	$15,764.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10,285.99 / $17,330.09 / $19,760.61	Professional		$10,285.99	$17,330.09	$19,760.61
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.06 / $3,668.43 / $7,193.00	Professional		$3,021.06	$3,668.43	$7,193.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,193.00 / $7,193.00 / $7,193.00	Professional		$7,193.00	$7,193.00	$7,193.00