Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.64 / $2,528.64 / $2,528.64	Facility		$2,528.64	$2,528.64	$2,528.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.69 / $2,528.64 / $2,980.50	Professional		$2,344.69	$2,528.64	$2,980.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,952.91 / $1,952.91 / $3,304.54	Facility		$1,952.91	$1,952.91	$3,304.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,499.88 / $3,499.88 / $4,374.84	Professional		$3,499.88	$3,499.88	$4,374.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,245.62 / $4,273.39 / $14,058.21	Facility		$2,245.62	$4,273.39	$14,058.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,215.89 / $2,030.17 / $3,434.09	Professional		$1,215.89	$2,030.17	$3,434.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,747.66 / $3,304.54 / $5,175.39	Facility		$2,747.66	$3,304.54	$5,175.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,706.42 / $3,351.04 / $6,314.89	Professional		$2,706.42	$3,351.04	$6,314.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,545.80 / $2,980.50 / $3,542.80	Professional		$2,545.80	$2,980.50	$3,542.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,053.47 / $1,793.93 / $3,200.81	Professional		$1,053.47	$1,793.93	$3,200.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,944.05 / $2,944.05 / $2,944.05	Professional		$2,944.05	$2,944.05	$2,944.05