Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.65 / $861.65 / $3,511.00	Facility		$861.65	$861.65	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.66 / $861.65 / $861.65	Professional		$752.66	$861.65	$861.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,821.68 / $2,004.62 / $2,505.78	Professional		$1,821.68	$2,004.62	$2,505.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,033.22 / $1,450.29 / $2,338.16	Facility		$1,033.22	$1,450.29	$2,338.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $834.96 / $1,828.93 / $7,729.93	Professional		$834.96	$1,828.93	$7,729.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,432.00 / $2,073.44 / $3,929.20	Facility		$1,432.00	$2,073.44	$3,929.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,205.75 / $1,758.89 / $2,442.52	Professional		$1,205.75	$1,758.89	$2,442.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $618.60 / $618.60 / $804.18	Professional		$618.60	$618.60	$804.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $824.84 / $1,606.93 / $2,499.67	Professional		$824.84	$1,606.93	$2,499.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $990.10 / $1,164.80 / $1,211.40	Professional		$990.10	$1,164.80	$1,211.40