Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,329.94 / $3,329.94 / $3,329.94	Facility		$3,329.94	$3,329.94	$3,329.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,604.67 / $3,329.94 / $3,392.36	Professional		$2,604.67	$3,329.94	$3,392.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,571.77 / $2,571.77 / $3,670.96	Facility		$2,571.77	$2,571.77	$3,670.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,428.06 / $4,608.75 / $5,760.94	Professional		$4,428.06	$4,608.75	$5,760.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,514.75 / $3,953.15 / $16,090.64	Facility		$2,514.75	$3,953.15	$16,090.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,383.91 / $2,310.69 / $3,814.86	Professional		$1,383.91	$2,310.69	$3,814.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,052.34 / $3,670.96 / $5,893.13	Facility		$3,052.34	$3,670.96	$5,893.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,006.54 / $3,722.63 / $7,015.13	Professional		$3,006.54	$3,722.63	$7,015.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,897.59 / $3,392.36 / $4,032.36	Professional		$2,897.59	$3,392.36	$4,032.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,199.57 / $2,042.71 / $2,888.38	Professional		$1,199.57	$2,042.71	$2,888.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,270.50 / $3,270.50 / $3,270.50	Professional		$3,270.50	$3,270.50	$3,270.50