Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,778.66 / $3,778.66 / $3,778.66	Facility		$3,778.66	$3,778.66	$3,778.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,289.00 / $3,778.66 / $4,223.30	Professional		$3,289.00	$3,778.66	$4,223.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,741.63 / $2,741.63 / $4,635.42	Facility		$2,741.63	$2,741.63	$4,635.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,230.13 / $5,230.13 / $6,537.66	Professional		$5,230.13	$5,230.13	$6,537.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,879.76 / $7,137.38 / $21,030.00	Facility		$2,879.76	$7,137.38	$21,030.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,722.90 / $2,876.70 / $5,001.42	Professional		$1,722.90	$2,876.70	$5,001.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,854.27 / $4,635.42 / $8,086.84	Facility		$3,854.27	$4,635.42	$8,086.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,796.44 / $4,700.67 / $8,858.20	Professional		$3,796.44	$4,700.67	$8,858.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,607.36 / $4,223.30 / $5,020.07	Professional		$3,607.36	$4,223.30	$5,020.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,646.10 / $2,803.10 / $4,511.30	Professional		$1,646.10	$2,803.10	$4,511.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,129.74 / $4,129.74 / $4,129.74	Professional		$4,129.74	$4,129.74	$4,129.74