Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,750.07 / $10,750.07 / $10,750.07	Facility		$10,750.07	$10,750.07	$10,750.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,204.62 / $10,750.07 / $13,559.29	Professional		$10,204.62	$10,750.07	$13,559.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,302.44 / $8,302.44 / $14,382.14	Facility		$8,302.44	$8,302.44	$14,382.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14,878.88 / $14,878.88 / $18,598.59	Professional		$14,878.88	$14,878.88	$18,598.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $10,146.98 / $19,389.78 / $56,471.55	Facility		$10,146.98	$19,389.78	$56,471.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,531.48 / $8,400.37 / $14,594.03	Professional		$5,531.48	$8,400.37	$14,594.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11,958.49 / $14,382.14 / $20,373.93	Facility		$11,958.49	$14,382.14	$20,373.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11,835.53 / $14,584.57 / $27,483.96	Professional		$11,835.53	$14,584.57	$27,483.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11,581.69 / $13,559.29 / $16,117.37	Professional		$11,581.69	$13,559.29	$16,117.37
United Facility/Professional Professional Modifier Low / Median / High Price $4,147.18 / $7,062.14 / $11,544.88	Professional		$4,147.18	$7,062.14	$11,544.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12,813.18 / $12,813.18 / $12,813.18	Professional		$12,813.18	$12,813.18	$12,813.18