Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Facility		$4,686.85	$4,686.85	$4,686.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $5,653.69	Professional		$4,686.85	$4,686.85	$5,653.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,776.10 / $4,776.10 / $5,970.14	Professional		$4,776.10	$4,776.10	$5,970.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,787.13 / $6,681.63 / $12,802.57	Facility		$4,787.13	$6,681.63	$12,802.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,672.47 / $4,672.47 / $5,139.72	Professional		$4,672.47	$4,672.47	$5,139.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,108.77 / $5,625.19 / $8,150.77	Facility		$4,108.77	$5,625.19	$8,150.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,143.13 / $5,309.64 / $6,986.37	Professional		$3,143.13	$5,309.64	$6,986.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,687.55 / $5,129.01 / $5,129.01	Professional		$4,687.55	$5,129.01	$5,129.01
United Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Professional		$4,686.85	$4,686.85	$4,686.85
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,672.47 / $4,672.47 / $4,672.47	Facility		$4,672.47	$4,672.47	$4,672.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,672.47 / $4,672.47 / $4,672.47	Professional		$4,672.47	$4,672.47	$4,672.47