Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,964.61 / $2,964.61 / $2,964.61	Facility		$2,964.61	$2,964.61	$2,964.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,631.59 / $2,964.61 / $3,598.53	Professional		$2,631.59	$2,964.61	$3,598.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.62 / $2,289.62 / $3,708.89	Facility		$2,289.62	$2,289.62	$3,708.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,103.25 / $4,144.28 / $5,129.06	Professional		$4,103.25	$4,144.28	$5,129.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,460.48 / $3,742.45 / $15,617.77	Facility		$2,460.48	$3,742.45	$15,617.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,468.01 / $2,282.94 / $3,854.30	Professional		$1,468.01	$2,282.94	$3,854.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,083.87 / $3,708.89 / $5,536.99	Facility		$3,083.87	$3,708.89	$5,536.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,141.05 / $3,761.09 / $7,087.59	Professional		$3,141.05	$3,761.09	$7,087.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,073.69 / $3,598.53 / $4,277.42	Professional		$3,073.69	$3,598.53	$4,277.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,199.54 / $2,451.14 / $3,716.39	Professional		$1,199.54	$2,451.14	$3,716.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,304.29 / $3,304.29 / $3,304.29	Professional		$3,304.29	$3,304.29	$3,304.29