Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,045.84 / $4,045.84 / $4,045.84	Facility		$4,045.84	$4,045.84	$4,045.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,751.45 / $4,045.84 / $4,768.80	Professional		$3,751.45	$4,045.84	$4,768.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,886.72 / $2,886.72 / $5,287.19	Facility		$2,886.72	$2,886.72	$5,287.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,599.88 / $5,599.88 / $6,999.84	Professional		$5,599.88	$5,599.88	$6,999.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,593.04 / $6,837.47 / $22,493.11	Facility		$3,593.04	$6,837.47	$22,493.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,945.42 / $3,248.26 / $5,494.46	Professional		$1,945.42	$3,248.26	$5,494.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,396.22 / $5,287.19 / $8,280.64	Facility		$4,396.22	$5,287.19	$8,280.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,330.25 / $5,361.62 / $10,103.74	Professional		$4,330.25	$5,361.62	$10,103.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,073.28 / $4,768.80 / $5,668.48	Professional		$4,073.28	$4,768.80	$5,668.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,685.55 / $2,870.29 / $4,060.33	Professional		$1,685.55	$2,870.29	$4,060.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,710.41 / $4,710.41 / $4,710.41	Professional		$4,710.41	$4,710.41	$4,710.41