Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,817.28	Facility		$3,817.28	$3,817.28	$3,817.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,810.58 / $3,817.28 / $4,565.14	Professional		$3,810.58	$3,817.28	$4,565.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,572.21 / $3,607.93 / $4,465.27	Professional		$3,572.21	$3,607.93	$4,465.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,459.53 / $6,376.12 / $10,337.61	Facility		$4,459.53	$6,376.12	$10,337.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,772.85 / $3,902.96 / $4,199.97	Professional		$3,772.85	$3,902.96	$4,199.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,207.25 / $4,527.42 / $6,146.16	Facility		$4,207.25	$4,527.42	$6,146.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,641.18 / $4,207.25 / $4,527.42	Professional		$3,641.18	$4,207.25	$4,527.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,177.39 / $4,177.39 / $4,177.39	Professional		$4,177.39	$4,177.39	$4,177.39
United Facility/Professional Professional Modifier Low / Median / High Price $3,244.69 / $3,817.28 / $4,249.43	Professional		$3,244.69	$3,817.28	$4,249.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,772.85 / $3,772.85 / $3,772.85	Facility		$3,772.85	$3,772.85	$3,772.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,772.85 / $3,772.85 / $3,772.85	Professional		$3,772.85	$3,772.85	$3,772.85