Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Facility		$3,692.14	$3,692.14	$3,692.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,060.80 / $4,060.80 / $5,076.00	Facility		$4,060.80	$4,060.80	$5,076.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,045.60 / $3,076.06 / $3,807.00	Professional		$3,045.60	$3,076.06	$3,807.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,774.77 / $6,379.36 / $6,570.75	Facility		$3,774.77	$6,379.36	$6,570.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,774.77 / $12,996.00	Professional		$3,692.14	$3,774.77	$12,996.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,514.82 / $3,514.82 / $4,529.72	Facility		$3,514.82	$3,514.82	$4,529.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $583.67 / $4,529.72 / $4,529.72	Professional		$583.67	$4,529.72	$4,529.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,040.45 / $4,040.45 / $4,040.45	Professional		$4,040.45	$4,040.45	$4,040.45
United Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $4,061.35	Professional		$3,692.14	$3,692.14	$4,061.35
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,774.77 / $3,774.77 / $3,774.77	Facility		$3,774.77	$3,774.77	$3,774.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,774.77 / $3,774.77 / $3,774.77	Professional		$3,774.77	$3,774.77	$3,774.77