Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,632.92 / $4,632.92 / $4,632.92	Facility		$4,632.92	$4,632.92	$4,632.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,771.92 / $4,632.92 / $4,719.50	Professional		$3,771.92	$4,632.92	$4,719.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,578.08 / $3,578.08 / $5,316.05	Facility		$3,578.08	$3,578.08	$5,316.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,412.50 / $6,412.50 / $8,015.63	Professional		$6,412.50	$6,412.50	$8,015.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,575.82 / $6,221.87 / $25,854.57	Facility		$3,575.82	$6,221.87	$25,854.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,925.31 / $3,214.69 / $5,735.79	Professional		$1,925.31	$3,214.69	$5,735.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,420.20 / $5,316.05 / $9,274.24	Facility		$4,420.20	$5,316.05	$9,274.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,353.88 / $5,390.87 / $10,158.86	Professional		$4,353.88	$5,390.87	$10,158.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,031.17 / $4,719.50 / $5,609.88	Professional		$4,031.17	$4,719.50	$5,609.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,887.80 / $3,689.51 / $6,360.88	Professional		$1,887.80	$3,689.51	$6,360.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,736.10 / $4,736.10 / $4,736.10	Professional		$4,736.10	$4,736.10	$4,736.10