Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,067.67 / $4,067.67 / $4,067.67	Facility		$4,067.67	$4,067.67	$4,067.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.03 / $3,556.90 / $4,067.67	Professional		$3,467.03	$3,556.90	$4,067.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,141.52 / $3,141.52 / $4,886.33	Facility		$3,141.52	$3,141.52	$4,886.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,753.21 / $5,629.88 / $7,037.34	Professional		$4,753.21	$5,629.88	$7,037.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,035.65 / $4,682.51 / $18,963.50	Facility		$3,035.65	$4,682.51	$18,963.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,451.03 / $2,422.78 / $4,823.68	Professional		$1,451.03	$2,422.78	$4,823.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,062.89 / $4,886.33 / $6,989.61	Facility		$4,062.89	$4,886.33	$6,989.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,001.94 / $4,955.10 / $9,337.66	Professional		$4,001.94	$4,955.10	$9,337.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,038.12 / $3,556.90 / $4,227.93	Professional		$3,038.12	$3,556.90	$4,227.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,422.76 / $2,422.78 / $6,410.38	Professional		$1,422.76	$2,422.78	$6,410.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,353.28 / $4,353.28 / $4,353.28	Professional		$4,353.28	$4,353.28	$4,353.28