Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,388.44 / $3,388.44	Facility		$2,754.23	$3,388.44	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,754.23 / $3,467.37	Professional		$1,698.24	$2,754.23	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $4,168.69	Facility		$3,235.94	$3,235.94	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $5,888.44	Professional		$4,677.35	$4,677.35	$5,888.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,890.45 / $10,232.93	Facility		$3,162.28	$3,890.45	$10,232.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $21,379.62	Professional		$1,513.56	$2,511.89	$21,379.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $4,073.80	Professional		$3,388.44	$4,073.80	$4,073.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $6,918.31	Professional		$3,388.44	$3,388.44	$6,918.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $5,011.87	Professional		$3,162.28	$3,801.89	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,073.80	Professional		$1,513.56	$2,454.71	$4,073.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78