Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,133.89 / $4,133.89 / $4,133.89	Facility		$4,133.89	$4,133.89	$4,133.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,833.07 / $4,133.89 / $4,872.52	Professional		$3,833.07	$4,133.89	$4,872.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,801.20 / $2,801.20 / $5,402.23	Facility		$2,801.20	$2,801.20	$5,402.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,721.75 / $5,778.97 / $7,152.19	Professional		$5,721.75	$5,778.97	$7,152.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,671.20 / $6,986.27 / $22,982.54	Facility		$3,671.20	$6,986.27	$22,982.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,987.74 / $3,318.91 / $5,614.01	Professional		$1,987.74	$3,318.91	$5,614.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,491.85 / $5,402.23 / $8,460.82	Facility		$4,491.85	$5,402.23	$8,460.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,424.46 / $5,478.27 / $10,323.54	Professional		$4,424.46	$5,478.27	$10,323.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,161.87 / $4,872.52 / $5,791.77	Professional		$4,161.87	$4,872.52	$5,791.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,722.23 / $2,932.74 / $4,935.41	Professional		$1,722.23	$2,932.74	$4,935.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,812.89 / $4,812.89 / $4,812.89	Professional		$4,812.89	$4,812.89	$4,812.89