Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,675.58 / $3,675.58 / $3,675.58	Facility		$3,675.58	$3,675.58	$3,675.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,304.15 / $3,675.58 / $3,872.04	Professional		$3,304.15	$3,675.58	$3,872.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,728.17 / $2,728.17 / $4,656.78	Facility		$2,728.17	$2,728.17	$4,656.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,087.25 / $5,087.25 / $6,359.06	Professional		$5,087.25	$5,087.25	$6,359.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,350.41 / $5,104.88 / $20,802.65	Facility		$3,350.41	$5,104.88	$20,802.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,579.59 / $2,637.44 / $4,839.34	Professional		$1,579.59	$2,637.44	$4,839.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,872.03 / $4,656.78 / $7,608.90	Facility		$3,872.03	$4,656.78	$7,608.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,813.92 / $4,722.34 / $8,899.02	Professional		$3,813.92	$4,722.34	$8,899.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,307.31 / $3,872.04 / $4,602.54	Professional		$3,307.31	$3,872.04	$4,602.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,637.44 / $3,296.80	Professional		$1,548.82	$2,637.44	$3,296.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,148.77 / $4,148.77 / $4,148.77	Professional		$4,148.77	$4,148.77	$4,148.77