Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,847.77 / $3,847.77 / $3,847.77	Facility		$3,847.77	$3,847.77	$3,847.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,714.37 / $3,847.77 / $4,439.27	Professional		$3,714.37	$3,847.77	$4,439.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,550.04 / $2,550.04 / $5,234.93	Facility		$2,550.04	$2,550.04	$5,234.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,325.75 / $5,325.75 / $6,657.19	Professional		$5,325.75	$5,325.75	$6,657.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,252.23 / $5,253.33 / $21,140.73	Facility		$3,252.23	$5,253.33	$21,140.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,811.00 / $3,067.56 / $5,219.62	Professional		$1,811.00	$3,067.56	$5,219.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,352.77 / $5,234.93 / $7,831.52	Facility		$4,352.77	$5,234.93	$7,831.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,287.43 / $5,308.63 / $10,003.87	Professional		$4,287.43	$5,308.63	$10,003.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,791.81 / $4,439.27 / $5,276.78	Professional		$3,791.81	$4,439.27	$5,276.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,594.13 / $2,714.61 / $3,779.76	Professional		$1,594.13	$2,714.61	$3,779.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,663.85 / $4,663.85 / $4,663.85	Professional		$4,663.85	$4,663.85	$4,663.85