Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,525.00 / $3,525.00 / $3,525.00	Facility		$3,525.00	$3,525.00	$3,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,512.50 / $2,925.00 / $3,525.00	Professional		$2,512.50	$2,925.00	$3,525.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,475.87 / $7,475.87 / $7,475.87	Facility		$7,475.87	$7,475.87	$7,475.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,386.55 / $6,811.32 / $8,514.14	Professional		$5,386.55	$6,811.32	$8,514.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,539.25 / $4,246.13 / $6,884.25	Facility		$3,539.25	$4,246.13	$6,884.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,489.35 / $2,250.00 / $6,876.00	Professional		$1,489.35	$2,250.00	$6,876.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,730.89 / $5,804.08 / $8,218.45	Facility		$4,730.89	$5,804.08	$8,218.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,500.00 / $5,770.54 / $8,218.45	Professional		$4,500.00	$5,770.54	$8,218.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,362.50 / $9,034.87 / $10,302.00	Professional		$5,362.50	$9,034.87	$10,302.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,489.35 / $1,575.00 / $3,375.00	Professional		$1,489.35	$1,575.00	$3,375.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $3,750.00	Professional		$3,750.00	$3,750.00	$3,750.00