Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,388.44 / $3,388.44	Facility		$2,089.30	$3,388.44	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $3,467.37	Professional		$1,513.56	$2,511.89	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,754.40 / $7,244.36	Professional		$4,265.80	$5,754.40	$7,244.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,388.44 / $5,495.41	Facility		$2,818.38	$3,388.44	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $15,135.61	Professional		$1,513.56	$1,819.70	$15,135.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $7,079.46 / $8,317.64	Professional		$4,265.80	$7,079.46	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $3,467.37	Professional		$1,258.93	$1,819.70	$3,467.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95