Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,677.35 / $4,677.35	Facility		$3,548.13	$4,677.35	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,548.13 / $4,677.35	Professional		$2,137.96	$3,548.13	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $5,370.32	Facility		$3,548.13	$3,548.13	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $7,943.28	Professional		$6,456.54	$6,456.54	$7,943.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $12,882.50	Facility		$3,890.45	$5,128.61	$12,882.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,235.94 / $44,668.36	Professional		$1,905.46	$3,235.94	$44,668.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $5,370.32	Professional		$4,466.84	$5,248.07	$5,370.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $8,709.64	Professional		$4,466.84	$4,466.84	$8,709.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $6,456.54	Professional		$4,073.80	$4,786.30	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,235.94 / $5,754.40	Professional		$1,905.46	$3,235.94	$5,754.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30