Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,135.75 / $3,135.75 / $3,135.75	Facility		$3,135.75	$3,135.75	$3,135.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,907.57 / $3,135.75 / $3,696.10	Professional		$2,907.57	$3,135.75	$3,696.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,264.80 / $2,264.80 / $4,097.85	Facility		$2,264.80	$2,264.80	$4,097.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,340.25 / $4,340.25 / $5,425.31	Professional		$4,340.25	$4,340.25	$5,425.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,784.80 / $5,299.42 / $17,433.41	Facility		$2,784.80	$5,299.42	$17,433.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,507.82 / $2,517.60 / $4,258.50	Professional		$1,507.82	$2,517.60	$4,258.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,407.28 / $4,097.85 / $6,417.97	Facility		$3,407.28	$4,097.85	$6,417.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,356.16 / $4,155.52 / $7,830.89	Professional		$3,356.16	$4,155.52	$7,830.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,157.05 / $3,696.10 / $4,393.41	Professional		$3,157.05	$3,696.10	$4,393.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,306.40 / $2,224.63 / $3,147.00	Professional		$1,306.40	$2,224.63	$3,147.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,650.81 / $3,650.81 / $3,650.81	Professional		$3,650.81	$3,650.81	$3,650.81