Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,802.05 / $3,802.05 / $3,802.05	Facility		$3,802.05	$3,802.05	$3,802.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,264.43 / $3,802.05 / $4,175.91	Professional		$3,264.43	$3,802.05	$4,175.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,600.52 / $3,600.52 / $4,600.81	Facility		$3,600.52	$3,600.52	$4,600.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,262.38 / $5,262.38 / $6,577.97	Professional		$5,262.38	$5,262.38	$6,577.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,246.56 / $6,425.46 / $21,186.55	Facility		$3,246.56	$6,425.46	$21,186.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,703.56 / $2,844.42 / $4,808.54	Professional		$1,703.56	$2,844.42	$4,808.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,825.47 / $4,600.81 / $8,792.01	Facility		$3,825.47	$4,600.81	$8,792.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,768.07 / $4,665.54 / $8,792.01	Professional		$3,768.07	$4,665.54	$8,792.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,566.87 / $4,175.91 / $4,963.72	Professional		$3,566.87	$4,175.91	$4,963.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,582.62 / $2,844.42 / $4,808.54	Professional		$1,582.62	$2,844.42	$4,808.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,098.89 / $4,098.89 / $4,098.89	Professional		$4,098.89	$4,098.89	$4,098.89