Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,715.35 / $3,715.35	Facility		$3,235.94	$3,715.35	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $3,890.45	Professional		$1,949.84	$3,235.94	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $4,897.79	Facility		$3,090.30	$3,090.30	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,456.54	Professional		$5,128.61	$5,128.61	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,570.88 / $12,022.64	Facility		$3,548.13	$4,570.88	$12,022.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,951.21 / $22,387.21	Professional		$1,778.28	$2,951.21	$22,387.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,786.30 / $4,786.30	Professional		$3,981.07	$4,786.30	$4,786.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $7,943.28	Professional		$3,981.07	$3,981.07	$7,943.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,466.84 / $5,888.44	Professional		$3,715.35	$4,466.84	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,951.21 / $4,677.35	Professional		$1,778.28	$2,951.21	$4,677.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80