Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,051.95 / $5,051.95 / $5,051.95	Facility		$5,051.95	$5,051.95	$5,051.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $5,051.95 / $5,051.95	Professional		$4,294.16	$5,051.95	$5,051.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $5,948.32	Professional		$4,294.16	$4,294.16	$5,948.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,051.95 / $6,501.87 / $12,458.12	Facility		$5,051.95	$6,501.87	$12,458.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $4,799.35	Professional		$4,209.96	$4,209.96	$4,799.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,879.91 / $6,065.54 / $10,142.42	Facility		$4,879.91	$6,065.54	$10,142.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,065.54 / $6,337.76 / $10,147.12	Professional		$6,065.54	$6,337.76	$10,147.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
United Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $4,630.96	Professional		$4,209.96	$4,209.96	$4,630.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $4,209.96	Professional		$4,209.96	$4,209.96	$4,209.96