Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,917.77 / $4,917.77 / $4,917.77	Facility		$4,917.77	$4,917.77	$4,917.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,418.03 / $4,917.77 / $5,361.31	Professional		$4,418.03	$4,917.77	$5,361.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,798.08 / $3,798.08 / $6,226.65	Facility		$3,798.08	$3,798.08	$6,226.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,806.63 / $6,806.63 / $8,508.28	Professional		$6,806.63	$6,806.63	$8,508.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,868.32 / $6,044.03 / $24,802.46	Facility		$3,868.32	$6,044.03	$24,802.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.14 / $3,651.86 / $6,470.75	Professional		$2,187.14	$3,651.86	$6,470.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,177.35 / $6,226.65 / $9,021.85	Facility		$5,177.35	$6,226.65	$9,021.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,099.66 / $6,314.29 / $11,899.02	Professional		$5,099.66	$6,314.29	$11,899.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,579.38 / $5,361.31 / $6,372.77	Professional		$4,579.38	$5,361.31	$6,372.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,836.43 / $3,127.21 / $4,564.82	Professional		$1,836.43	$3,127.21	$4,564.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,547.38 / $5,547.38 / $5,547.38	Professional		$5,547.38	$5,547.38	$5,547.38