Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.48 / $2,843.48 / $2,843.48	Facility		$2,843.48	$2,843.48	$2,843.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,442.48 / $2,843.48 / $3,383.51	Professional		$2,442.48	$2,843.48	$3,383.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.18 / $1,769.18 / $3,442.37	Facility		$1,769.18	$1,769.18	$3,442.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,935.63 / $3,935.63 / $4,919.53	Professional		$3,935.63	$3,935.63	$4,919.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,506.48 / $3,645.06 / $14,790.81	Facility		$2,506.48	$3,645.06	$14,790.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.30 / $2,240.23 / $3,577.32	Professional		$1,380.30	$2,240.23	$3,577.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,862.28 / $3,442.37 / $5,433.38	Facility		$2,862.28	$3,442.37	$5,433.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,953.37 / $3,490.83 / $6,578.32	Professional		$2,953.37	$3,490.83	$6,578.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,890.03 / $3,383.51 / $4,021.84	Professional		$2,890.03	$3,383.51	$4,021.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,105.98 / $2,128.23 / $3,360.36	Professional		$1,105.98	$2,128.23	$3,360.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,066.84 / $3,066.84 / $3,066.84	Professional		$3,066.84	$3,066.84	$3,066.84