Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $3,019.95	Facility		$2,454.71	$3,019.95	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $3,090.30	Professional		$1,513.56	$2,454.71	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,715.35	Facility		$2,884.03	$2,884.03	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $5,248.07	Professional		$4,168.69	$4,168.69	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,467.37 / $9,120.11	Facility		$2,818.38	$3,467.37	$9,120.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $19,054.61	Professional		$1,348.96	$2,238.72	$19,054.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,630.78 / $3,630.78	Professional		$3,019.95	$3,630.78	$3,630.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $6,025.60	Professional		$3,019.95	$3,019.95	$6,025.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,388.44 / $4,466.84	Professional		$2,818.38	$3,388.44	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $3,630.78	Professional		$1,348.96	$2,137.96	$3,630.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94