Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.11 / $855.11 / $3,511.00	Facility		$855.11	$855.11	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.26 / $855.11 / $855.11	Professional		$746.26	$855.11	$855.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,833.72 / $2,017.87 / $2,522.34	Professional		$1,833.72	$2,017.87	$2,522.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,027.32 / $1,375.16 / $2,317.66	Facility		$1,027.32	$1,375.16	$2,317.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $833.43 / $1,868.80 / $6,587.04	Professional		$833.43	$1,868.80	$6,587.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,373.00 / $2,034.23 / $2,750.99	Facility		$1,373.00	$2,034.23	$2,750.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,252.00 / $1,975.97 / $2,379.69	Professional		$1,252.00	$1,975.97	$2,379.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,032.27 / $1,484.09 / $1,756.33	Professional		$1,032.27	$1,484.09	$1,756.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $956.13 / $1,738.42 / $2,462.73	Professional		$956.13	$1,738.42	$2,462.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,609.70 / $1,893.70 / $1,969.50	Professional		$1,609.70	$1,893.70	$1,969.50