Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,157.76 / $3,157.76 / $3,157.76	Facility		$3,157.76	$3,157.76	$3,157.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,928.02 / $3,157.76 / $3,722.05	Professional		$2,928.02	$3,157.76	$3,722.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,677.88 / $2,677.88 / $4,126.67	Facility		$2,677.88	$2,677.88	$4,126.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,370.63 / $4,370.63 / $5,463.28	Professional		$4,370.63	$4,370.63	$5,463.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,804.32 / $5,336.61 / $17,719.04	Facility		$2,804.32	$5,336.61	$17,719.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,518.41 / $2,535.27 / $4,288.43	Professional		$1,518.41	$2,535.27	$4,288.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,431.25 / $4,126.67 / $6,503.54	Facility		$3,431.25	$4,126.67	$6,503.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,379.76 / $4,184.75 / $7,886.00	Professional		$3,379.76	$4,184.75	$7,886.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,179.20 / $3,722.05 / $4,424.25	Professional		$3,179.20	$3,722.05	$4,424.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,501.93 / $2,535.27 / $4,335.52	Professional		$1,501.93	$2,535.27	$4,335.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,676.49 / $3,676.49 / $3,676.49	Professional		$3,676.49	$3,676.49	$3,676.49