Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,140.05 / $3,140.05 / $3,140.05	Facility		$3,140.05	$3,140.05	$3,140.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,514.87 / $3,140.05 / $3,322.76	Professional		$2,514.87	$3,140.05	$3,322.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $3,544.39	Facility		$2,425.11	$2,425.11	$3,544.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,337.22 / $4,346.25 / $5,432.81	Professional		$4,337.22	$4,346.25	$5,432.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,626.51 / $3,521.26 / $16,380.05	Facility		$2,626.51	$3,521.26	$16,380.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,355.52 / $2,263.30 / $3,747.75	Professional		$1,355.52	$2,263.30	$3,747.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,947.09 / $3,544.39 / $6,059.77	Facility		$2,947.09	$3,544.39	$6,059.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,902.85 / $3,594.26 / $6,773.23	Professional		$2,902.85	$3,594.26	$6,773.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,838.14 / $3,322.76 / $3,949.63	Professional		$2,838.14	$3,322.76	$3,949.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,233.49 / $2,168.82 / $2,829.13	Professional		$1,233.49	$2,168.82	$2,829.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,157.73 / $3,157.73 / $3,157.73	Professional		$3,157.73	$3,157.73	$3,157.73