Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,388.44 / $3,388.44	Facility		$2,951.21	$3,388.44	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,884.03 / $3,715.35	Professional		$1,698.24	$2,884.03	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $4,073.80	Facility		$2,630.27	$2,630.27	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $5,888.44	Professional		$4,677.35	$4,677.35	$5,888.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $10,715.19	Facility		$3,162.28	$4,073.80	$10,715.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,511.89 / $21,379.62	Professional		$1,621.81	$2,511.89	$21,379.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,981.07 / $3,981.07	Professional		$3,311.31	$3,981.07	$3,981.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $7,244.36	Professional		$3,311.31	$3,311.31	$7,244.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,370.32	Professional		$3,388.44	$4,073.80	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,511.89 / $4,168.69	Professional		$1,621.81	$2,511.89	$4,168.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13