Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,801.89 / $4,365.16	Professional		$2,041.74	$3,801.89	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $5,495.41	Facility		$2,754.23	$2,754.23	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $6,606.93	Professional		$5,370.32	$5,370.32	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,754.40 / $15,848.93	Facility		$3,801.89	$5,754.40	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,388.44 / $29,512.09	Professional		$2,290.87	$3,388.44	$29,512.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $5,495.41	Professional		$4,570.88	$5,370.32	$5,495.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $10,715.19	Professional		$4,570.88	$4,570.88	$10,715.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,888.44 / $7,943.28	Professional		$4,897.79	$5,888.44	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,311.31 / $4,897.79	Professional		$1,819.70	$3,311.31	$4,897.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79