Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $2,238.72	Facility		$1,862.09	$2,238.72	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $2,290.87	Professional		$1,148.15	$1,819.70	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,570.40	Facility		$1,737.80	$1,737.80	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,890.45	Professional		$3,162.28	$3,162.28	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $6,918.31	Facility		$2,089.30	$2,570.40	$6,918.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $12,882.50	Professional		$1,023.29	$1,698.24	$12,882.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $2,511.89	Professional		$2,089.30	$2,511.89	$2,511.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $4,570.88	Professional		$2,089.30	$2,089.30	$4,570.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $3,388.44	Professional		$2,137.96	$2,570.40	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $2,754.23	Professional		$1,023.29	$1,698.24	$2,754.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72