Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,043.44 / $3,043.44 / $3,043.44	Facility		$3,043.44	$3,043.44	$3,043.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,658.01 / $3,043.44 / $3,073.12	Professional		$2,658.01	$3,043.44	$3,073.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,784.15 / $1,784.15 / $3,746.13	Facility		$1,784.15	$1,784.15	$3,746.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,011.35 / $4,212.38 / $5,265.47	Professional		$4,011.35	$4,212.38	$5,265.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,509.41 / $3,636.27 / $15,230.69	Facility		$2,509.41	$3,636.27	$15,230.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,253.68 / $2,093.26 / $3,892.98	Professional		$1,253.68	$2,093.26	$3,892.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,114.84 / $3,746.13 / $5,479.39	Facility		$3,114.84	$3,746.13	$5,479.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,068.10 / $3,798.84 / $7,158.78	Professional		$3,068.10	$3,798.84	$7,158.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,624.92 / $3,073.12 / $3,652.89	Professional		$2,624.92	$3,073.12	$3,652.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,115.34 / $1,899.30 / $2,616.57	Professional		$1,115.34	$1,899.30	$2,616.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,337.46 / $3,337.46 / $3,337.46	Professional		$3,337.46	$3,337.46	$3,337.46