Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,210.88 / $3,210.88 / $3,210.88	Facility		$3,210.88	$3,210.88	$3,210.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,778.32 / $3,210.88 / $3,315.56	Professional		$2,778.32	$3,210.88	$3,315.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,479.82 / $2,479.82 / $3,915.68	Facility		$2,479.82	$2,479.82	$3,915.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,327.82 / $4,444.13 / $5,555.16	Professional		$4,327.82	$4,444.13	$5,555.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,432.62 / $3,800.88 / $16,444.91	Facility		$2,432.62	$3,800.88	$16,444.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,352.58 / $2,258.39 / $4,069.18	Professional		$1,352.58	$2,258.39	$4,069.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,255.82 / $3,915.68 / $5,962.59	Facility		$3,255.82	$3,915.68	$5,962.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,206.96 / $3,970.81 / $7,482.81	Professional		$3,206.96	$3,970.81	$7,482.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,832.00 / $3,315.56 / $3,941.07	Professional		$2,832.00	$3,315.56	$3,941.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,291.74 / $2,583.48 / $4,408.47	Professional		$1,291.74	$2,583.48	$4,408.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,488.52 / $3,488.52 / $3,488.52	Professional		$3,488.52	$3,488.52	$3,488.52