Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,073.80 / $4,073.80	Facility		$3,548.13	$4,073.80	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,548.13 / $4,265.80	Professional		$2,137.96	$3,548.13	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $5,370.32	Facility		$2,884.03	$2,884.03	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $7,079.46	Professional		$5,623.41	$5,623.41	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,011.87 / $13,182.57	Facility		$3,890.45	$5,011.87	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $24,547.09	Professional		$1,949.84	$3,235.94	$24,547.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,248.07 / $5,248.07	Professional		$4,365.16	$5,248.07	$5,248.07
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 $4,365.16 / $4,365.16 / $8,709.64	Professional		$4,365.16	$4,365.16	$8,709.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $6,456.54	Professional		$4,073.80	$4,897.79	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,235.94 / $5,128.61	Professional		$1,905.46	$3,235.94	$5,128.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35