Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,521.09 / $2,521.09 / $2,521.09	Facility		$2,521.09	$2,521.09	$2,521.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,521.09 / $2,849.99 / $3,237.42	Professional		$2,521.09	$2,849.99	$3,237.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,711.28 / $1,711.28 / $4,016.71	Facility		$1,711.28	$1,711.28	$4,016.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,489.38 / $3,524.27 / $4,361.72	Professional		$3,489.38	$3,524.27	$4,361.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,495.38 / $3,898.94 / $14,301.99	Facility		$2,495.38	$3,898.94	$14,301.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,320.70 / $2,166.92 / $3,552.36	Professional		$1,320.70	$2,166.92	$3,552.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,339.82 / $4,016.71 / $5,255.58	Facility		$3,339.82	$4,016.71	$5,255.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,143.76 / $4,073.24 / $7,675.84	Professional		$3,143.76	$4,073.24	$7,675.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,765.24 / $3,237.42 / $3,848.19	Professional		$2,765.24	$3,237.42	$3,848.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,069.79 / $2,277.15 / $3,461.40	Professional		$1,069.79	$2,277.15	$3,461.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,578.52 / $3,578.52 / $3,578.52	Professional		$3,578.52	$3,578.52	$3,578.52