Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $2,754.23	Facility		$2,041.74	$2,754.23	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $2,818.38	Professional		$1,445.44	$2,041.74	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,548.13	Facility		$1,737.80	$1,737.80	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,786.30	Professional		$3,801.89	$3,801.89	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,388.44 / $7,413.10	Facility		$2,511.89	$3,388.44	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,041.74 / $16,982.44	Professional		$1,122.02	$2,041.74	$16,982.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,467.37 / $3,467.37	Professional		$2,884.03	$3,467.37	$3,467.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $5,011.87	Professional		$2,884.03	$2,884.03	$5,011.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $3,715.35	Professional		$2,344.23	$2,818.38	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $3,388.44	Professional		$1,122.02	$1,862.09	$3,388.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30