Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,748.28 / $2,748.28 / $2,748.28	Facility		$2,748.28	$2,748.28	$2,748.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,492.73 / $2,616.76 / $2,748.28	Professional		$2,492.73	$2,616.76	$2,748.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,283.76 / $2,283.76 / $3,513.21	Facility		$2,283.76	$2,283.76	$3,513.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,417.49 / $3,804.00 / $4,755.00	Professional		$3,417.49	$3,804.00	$4,755.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,264.23 / $4,422.32 / $14,087.74	Facility		$2,264.23	$4,422.32	$14,087.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,067.50 / $1,782.40 / $3,532.41	Professional		$1,067.50	$1,782.40	$3,532.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,921.16 / $3,513.21 / $5,142.14	Facility		$2,921.16	$3,513.21	$5,142.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,877.32 / $3,562.65 / $6,713.64	Professional		$2,877.32	$3,562.65	$6,713.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,235.10 / $2,616.76 / $3,110.43	Professional		$2,235.10	$2,616.76	$3,110.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,046.70 / $1,782.40 / $2,228.00	Professional		$1,046.70	$1,782.40	$2,228.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,129.95 / $3,129.95 / $3,129.95	Professional		$3,129.95	$3,129.95	$3,129.95