Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,531.26 / $3,531.26 / $3,531.26	Facility		$3,531.26	$3,531.26	$3,531.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,522.15 / $3,531.26 / $4,738.20	Professional		$3,522.15	$3,531.26	$4,738.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,970.85 / $2,970.85 / $4,964.04	Facility		$2,970.85	$2,970.85	$4,964.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,887.38 / $4,936.25 / $6,109.22	Professional		$4,887.38	$4,936.25	$6,109.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,083.93 / $4,927.75 / $19,143.40	Facility		$3,083.93	$4,927.75	$19,143.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,932.95 / $2,930.32 / $5,158.64	Professional		$1,932.95	$2,930.32	$5,158.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,127.51 / $4,964.04 / $7,107.07	Facility		$4,127.51	$4,964.04	$7,107.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,135.87 / $5,033.91 / $9,486.16	Professional		$4,135.87	$5,033.91	$9,486.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,047.16 / $4,738.20 / $5,632.11	Professional		$4,047.16	$4,738.20	$5,632.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,539.69 / $3,227.42 / $4,426.72	Professional		$1,539.69	$3,227.42	$4,426.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,422.50 / $4,422.50 / $4,422.50	Professional		$4,422.50	$4,422.50	$4,422.50