Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,398.42 / $4,398.42 / $4,398.42	Facility		$4,398.42	$4,398.42	$4,398.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,398.42 / $4,410.05 / $5,582.87	Professional		$4,398.42	$4,410.05	$5,582.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,323.97 / $3,323.97 / $6,215.41	Facility		$3,323.97	$3,323.97	$6,215.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,087.75 / $6,148.63 / $7,609.69	Professional		$6,087.75	$6,148.63	$7,609.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,039.83 / $9,435.04 / $25,033.69	Facility		$4,039.83	$9,435.04	$25,033.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,277.52 / $3,644.02 / $6,459.07	Professional		$2,277.52	$3,644.02	$6,459.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,167.99 / $6,215.41 / $8,635.52	Facility		$5,167.99	$6,215.41	$8,635.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,627.56 / $6,302.87 / $13,046.87	Professional		$5,627.56	$6,302.87	$13,046.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,768.62 / $5,582.87 / $6,636.13	Professional		$4,768.62	$5,582.87	$6,636.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,757.79 / $3,802.77 / $5,776.35	Professional		$1,757.79	$3,802.77	$5,776.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,537.36 / $5,537.36 / $5,537.36	Professional		$5,537.36	$5,537.36	$5,537.36