Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.58 / $756.58 / $3,073.00	Facility		$756.58	$756.58	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.92 / $794.12 / $2,446.19	Professional		$721.92	$794.12	$2,446.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,623.44 / $1,786.48 / $2,233.10	Professional		$1,623.44	$1,786.48	$2,233.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,219.38 / $2,109.96	Facility		$750.00	$1,219.38	$2,109.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $739.02 / $1,680.03 / $5,874.88	Professional		$739.02	$1,680.03	$5,874.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $1,813.76 / $2,364.42	Facility		$1,321.00	$1,813.76	$2,364.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,159.00 / $1,755.45 / $2,132.96	Professional		$1,159.00	$1,755.45	$2,132.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $868.83 / $1,344.90 / $1,560.32	Professional		$868.83	$1,344.90	$1,560.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $859.55 / $1,408.88 / $2,191.59	Professional		$859.55	$1,408.88	$2,191.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,430.00 / $1,682.40 / $1,749.70	Professional		$1,430.00	$1,682.40	$1,749.70