Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,248.07 / $5,248.07	Facility		$4,897.79	$5,248.07	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,897.79 / $6,165.95	Professional		$3,019.95	$4,897.79	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $7,413.10	Facility		$4,073.80	$4,073.80	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $9,120.11	Professional		$7,244.36	$7,244.36	$9,120.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $7,079.46 / $18,197.01	Facility		$5,248.07	$7,079.46	$18,197.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,265.80 / $36,307.81	Professional		$2,691.53	$4,265.80	$36,307.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,244.36 / $7,413.10	Professional		$6,165.95	$7,244.36	$7,413.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $12,022.64	Professional		$6,165.95	$6,165.95	$12,022.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,760.83 / $8,912.51	Professional		$5,623.41	$6,760.83	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,168.69 / $6,606.93	Professional		$2,511.89	$4,168.69	$6,606.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93