Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,209.39 / $4,209.39 / $4,209.39	Facility		$4,209.39	$4,209.39	$4,209.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,614.15 / $4,209.39 / $4,623.30	Professional		$3,614.15	$4,209.39	$4,623.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,802.84 / $2,802.84 / $5,093.68	Facility		$2,802.84	$2,802.84	$5,093.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,826.00 / $5,826.00 / $7,282.50	Professional		$5,826.00	$5,826.00	$7,282.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,594.41 / $7,113.89 / $23,456.39	Facility		$3,594.41	$7,113.89	$23,456.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,886.07 / $3,149.16 / $5,323.71	Professional		$1,886.07	$3,149.16	$5,323.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,235.31 / $5,093.68 / $9,733.94	Facility		$4,235.31	$5,093.68	$9,733.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,171.75 / $5,165.38 / $9,733.94	Professional		$4,171.75	$5,165.38	$9,733.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,949.01 / $4,623.30 / $5,495.53	Professional		$3,949.01	$4,623.30	$5,495.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,752.18 / $2,983.73 / $3,936.45	Professional		$1,752.18	$2,983.73	$3,936.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,538.02 / $4,538.02 / $4,538.02	Professional		$4,538.02	$4,538.02	$4,538.02