Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,693.42 / $2,693.42 / $2,693.42	Facility		$2,693.42	$2,693.42	$2,693.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,293.08 / $2,414.96 / $2,693.42	Professional		$2,293.08	$2,414.96	$2,693.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,507.59 / $2,507.59 / $4,015.28	Facility		$2,507.59	$2,507.59	$4,015.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,494.00 / $4,494.00 / $5,617.50	Professional		$4,494.00	$4,494.00	$5,617.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,494.50 / $4,081.28 / $18,505.52	Facility		$2,494.50	$4,081.28	$18,505.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,407.40 / $2,251.83 / $4,192.85	Professional		$1,407.40	$2,251.83	$4,192.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,338.63 / $4,015.28 / $6,779.42	Facility		$3,338.63	$4,015.28	$6,779.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,288.54 / $4,071.80 / $7,673.12	Professional		$3,288.54	$4,071.80	$7,673.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,946.77 / $3,449.94 / $4,100.80	Professional		$2,946.77	$3,449.94	$4,100.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,379.98 / $1,956.66 / $3,876.39	Professional		$1,379.98	$1,956.66	$3,876.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,577.25 / $3,577.25 / $3,577.25	Professional		$3,577.25	$3,577.25	$3,577.25