Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $3,235.94	Facility		$2,454.71	$3,235.94	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,454.71 / $3,467.37	Professional		$1,380.38	$2,454.71	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,981.07	Facility		$2,454.71	$2,454.71	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $5,495.41	Professional		$4,466.84	$4,466.84	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,467.37 / $9,120.11	Facility		$2,511.89	$3,467.37	$9,120.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $22,387.21	Professional		$1,348.96	$2,290.87	$22,387.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,890.45 / $3,890.45	Professional		$3,235.94	$3,890.45	$3,890.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $6,025.60	Professional		$3,235.94	$3,235.94	$6,025.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,388.44 / $4,466.84	Professional		$2,818.38	$3,388.44	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $3,890.45	Professional		$1,348.96	$2,238.72	$3,890.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37