Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,715.77 / $2,715.77 / $2,715.77	Facility		$2,715.77	$2,715.77	$2,715.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,331.71 / $2,715.77 / $2,982.77	Professional		$2,331.71	$2,715.77	$2,982.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,808.29 / $1,808.29 / $3,286.25	Facility		$1,808.29	$1,808.29	$3,286.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,759.00 / $3,796.59 / $4,698.75	Professional		$3,759.00	$3,796.59	$4,698.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,318.96 / $4,589.64 / $15,133.20	Facility		$2,318.96	$4,589.64	$15,133.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,216.82 / $2,031.71 / $3,434.66	Professional		$1,216.82	$2,031.71	$3,434.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,732.46 / $3,286.25 / $6,279.94	Facility		$2,732.46	$3,286.25	$6,279.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.46 / $3,332.50 / $6,279.94	Professional		$2,691.46	$3,332.50	$6,279.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,547.73 / $2,982.77 / $3,545.50	Professional		$2,547.73	$2,982.77	$3,545.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,130.44 / $1,946.90 / $2,780.80	Professional		$1,130.44	$1,946.90	$2,780.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,927.75 / $2,927.75 / $2,927.75	Professional		$2,927.75	$2,927.75	$2,927.75