Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,828.16 / $12,828.16 / $12,828.16	Facility		$12,828.16	$12,828.16	$12,828.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11,615.27 / $12,828.16 / $18,825.58	Professional		$11,615.27	$12,828.16	$18,825.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,907.40 / $9,907.40 / $16,370.26	Facility		$9,907.40	$9,907.40	$16,370.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17,755.13 / $17,755.13 / $22,193.91	Professional		$17,755.13	$17,755.13	$22,193.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $11,487.61 / $26,920.58 / $75,302.32	Facility		$11,487.61	$26,920.58	$75,302.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,864.55 / $11,439.71 / $19,275.46	Professional		$6,864.55	$11,439.71	$19,275.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13,611.57 / $16,370.26 / $27,745.40	Facility		$13,611.57	$16,370.26	$27,745.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14,822.03 / $16,600.66 / $34,559.35	Professional		$14,822.03	$16,600.66	$34,559.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16,079.91 / $18,825.58 / $22,377.19	Professional		$16,079.91	$18,825.58	$22,377.19
United Facility/Professional Professional Modifier Low / Median / High Price $5,647.67 / $9,617.28 / $16,028.80	Professional		$5,647.67	$9,617.28	$16,028.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14,584.41 / $14,584.41 / $14,584.41	Professional		$14,584.41	$14,584.41	$14,584.41