Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,841.11 / $3,841.11 / $3,841.11	Facility		$3,841.11	$3,841.11	$3,841.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,841.11 / $3,865.63 / $5,794.46	Professional		$3,841.11	$3,865.63	$5,794.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,780.72 / $2,780.72 / $5,448.11	Facility		$2,780.72	$2,780.72	$5,448.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,316.38 / $5,369.54 / $6,645.47	Professional		$5,316.38	$5,369.54	$6,645.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,482.82 / $6,026.22 / $23,421.34	Facility		$3,482.82	$6,026.22	$23,421.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,284.56 / $3,521.11 / $5,933.53	Professional		$2,284.56	$3,521.11	$5,933.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,530.00 / $5,448.11 / $8,539.98	Facility		$4,530.00	$5,448.11	$8,539.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,932.85 / $5,524.79 / $10,637.28	Professional		$4,932.85	$5,524.79	$10,637.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,949.35 / $5,794.46 / $6,887.64	Professional		$4,949.35	$5,794.46	$6,887.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,738.34 / $2,960.17 / $4,933.62	Professional		$1,738.34	$2,960.17	$4,933.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,853.77 / $4,853.77 / $4,853.77	Professional		$4,853.77	$4,853.77	$4,853.77