Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,893.24 / $3,893.24 / $3,893.24	Facility		$3,893.24	$3,893.24	$3,893.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,486.07 / $3,893.24 / $4,466.84	Professional		$3,486.07	$3,893.24	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,006.81 / $3,006.81 / $4,913.17	Facility		$3,006.81	$3,006.81	$4,913.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,388.75 / $5,388.75 / $6,735.94	Professional		$5,388.75	$5,388.75	$6,735.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,085.13 / $5,368.16 / $22,146.98	Facility		$3,085.13	$5,368.16	$22,146.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,822.24 / $3,042.59 / $5,105.79	Professional		$1,822.24	$3,042.59	$5,105.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,085.22 / $4,913.17 / $8,001.56	Facility		$4,085.22	$4,913.17	$8,001.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,023.91 / $4,982.33 / $9,388.99	Professional		$4,023.91	$4,982.33	$9,388.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,815.36 / $4,466.84 / $5,309.55	Professional		$3,815.36	$4,466.84	$5,309.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,628.74 / $3,042.59 / $3,803.24	Professional		$1,628.74	$3,042.59	$3,803.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,377.18 / $4,377.18 / $4,377.18	Professional		$4,377.18	$4,377.18	$4,377.18