Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,189.19 / $3,189.19 / $3,189.19	Facility		$3,189.19	$3,189.19	$3,189.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,957.12 / $3,189.19 / $3,759.09	Professional		$2,957.12	$3,189.19	$3,759.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,463.07 / $2,463.07 / $4,167.68	Facility		$2,463.07	$2,463.07	$4,167.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,414.13 / $4,414.13 / $5,517.66	Professional		$4,414.13	$4,414.13	$5,517.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,832.24 / $5,389.73 / $17,730.55	Facility		$2,832.24	$5,389.73	$17,730.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,533.51 / $2,560.50 / $4,331.06	Professional		$1,533.51	$2,560.50	$4,331.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,465.35 / $4,167.68 / $6,527.35	Facility		$3,465.35	$4,167.68	$6,527.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,413.35 / $4,226.33 / $7,964.37	Professional		$3,413.35	$4,226.33	$7,964.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,210.83 / $3,759.09 / $4,468.28	Professional		$3,210.83	$3,759.09	$4,468.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,328.66 / $2,560.50 / $4,036.94	Professional		$1,328.66	$2,560.50	$4,036.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,713.02 / $3,713.02 / $3,713.02	Professional		$3,713.02	$3,713.02	$3,713.02