Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,206.09 / $3,206.09 / $3,206.09	Facility		$3,206.09	$3,206.09	$3,206.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,611.04 / $3,206.09 / $3,317.35	Professional		$2,611.04	$3,206.09	$3,317.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,476.09 / $2,476.09 / $3,679.93	Facility		$2,476.09	$2,476.09	$3,679.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,330.14 / $4,437.38 / $5,546.72	Professional		$4,330.14	$4,437.38	$5,546.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,520.92 / $3,702.76 / $16,803.40	Facility		$2,520.92	$3,702.76	$16,803.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,353.31 / $2,259.61 / $3,824.19	Professional		$1,353.31	$2,259.61	$3,824.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,059.79 / $3,679.93 / $6,098.19	Facility		$3,059.79	$3,679.93	$6,098.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,013.88 / $3,731.73 / $7,032.28	Professional		$3,013.88	$3,731.73	$7,032.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,833.52 / $3,317.35 / $3,943.20	Professional		$2,833.52	$3,317.35	$3,943.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,241.31 / $2,165.29 / $3,771.51	Professional		$1,241.31	$2,165.29	$3,771.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,278.48 / $3,278.48 / $3,278.48	Professional		$3,278.48	$3,278.48	$3,278.48