Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,644.00 / $4,644.00 / $4,644.00	Facility		$4,644.00	$4,644.00	$4,644.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $4,644.00 / $4,644.00	Professional		$3,947.40	$4,644.00	$4,644.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,933.75 / $3,947.40 / $4,917.18	Professional		$3,933.75	$3,947.40	$4,917.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,644.00 / $7,063.52 / $11,452.10	Facility		$4,644.00	$7,063.52	$11,452.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,870.00 / $4,411.80	Professional		$3,870.00	$3,870.00	$4,411.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,871.92 / $9,697.64 / $11,013.31	Facility		$2,871.92	$9,697.64	$11,013.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9,697.64 / $9,893.07 / $16,334.50	Professional		$9,697.64	$9,893.07	$16,334.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
United Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,870.00 / $4,257.00	Professional		$3,870.00	$3,870.00	$4,257.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,179.60 / $4,179.60 / $4,179.60	Professional		$4,179.60	$4,179.60	$4,179.60