Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,630.78 / $3,630.78	Facility		$2,454.71	$3,630.78	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,454.71 / $3,630.78	Professional		$1,584.89	$2,454.71	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $4,073.80	Facility		$2,754.23	$2,754.23	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $6,165.95	Professional		$5,011.87	$5,011.87	$6,165.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,890.45 / $9,120.11	Facility		$2,884.03	$3,890.45	$9,120.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $20,892.96	Professional		$1,348.96	$2,344.23	$20,892.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,981.07 / $3,981.07	Professional		$3,311.31	$3,981.07	$3,981.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $6,025.60	Professional		$3,311.31	$3,311.31	$6,025.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,388.44 / $4,466.84	Professional		$2,818.38	$3,388.44	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $4,365.16	Professional		$1,348.96	$2,238.72	$4,365.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13