Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.22 / $4,265.22 / $4,265.22	Facility		$4,265.22	$4,265.22	$4,265.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,954.91 / $4,265.22 / $5,027.38	Professional		$3,954.91	$4,265.22	$5,027.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,294.10 / $3,294.10 / $5,573.94	Facility		$3,294.10	$3,294.10	$5,573.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,903.25 / $5,903.25 / $7,379.06	Professional		$5,903.25	$5,903.25	$7,379.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,787.83 / $7,208.24 / $23,712.81	Facility		$3,787.83	$7,208.24	$23,712.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,050.91 / $3,424.40 / $5,792.46	Professional		$2,050.91	$3,424.40	$5,792.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,634.63 / $5,573.94 / $8,729.66	Facility		$4,634.63	$5,573.94	$8,729.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,565.09 / $5,652.40 / $10,651.68	Professional		$4,565.09	$5,652.40	$10,651.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,294.14 / $5,027.38 / $5,975.84	Professional		$4,294.14	$5,027.38	$5,975.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,776.95 / $3,025.93 / $5,398.98	Professional		$1,776.95	$3,025.93	$5,398.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,965.88 / $4,965.88 / $4,965.88	Professional		$4,965.88	$4,965.88	$4,965.88