Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,296.24 / $3,296.24 / $3,296.24	Facility		$3,296.24	$3,296.24	$3,296.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,303.63 / $2,894.86 / $3,296.24	Professional		$2,303.63	$2,894.86	$3,296.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,253.75 / $2,253.75 / $3,246.66	Facility		$2,253.75	$2,253.75	$3,246.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,778.67 / $4,562.25 / $5,702.81	Professional		$3,778.67	$4,562.25	$5,702.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,250.79 / $4,892.31 / $15,333.41	Facility		$2,250.79	$4,892.31	$15,333.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,180.95 / $1,971.83 / $3,503.01	Professional		$1,180.95	$1,971.83	$3,503.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,699.54 / $3,246.66 / $6,204.31	Facility		$2,699.54	$3,246.66	$6,204.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,659.03 / $3,292.37 / $6,204.31	Professional		$2,659.03	$3,292.37	$6,204.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,472.65 / $2,894.86 / $3,441.01	Professional		$2,472.65	$2,894.86	$3,441.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,152.94 / $1,963.30 / $2,615.58	Professional		$1,152.94	$1,963.30	$2,615.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,892.48 / $2,892.48 / $2,892.48	Professional		$2,892.48	$2,892.48	$2,892.48