Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $889.50 / $889.50 / $3,511.00	Facility		$889.50	$889.50	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.64 / $889.50 / $889.50	Professional		$776.64	$889.50	$889.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,907.35 / $2,098.90 / $2,623.62	Professional		$1,907.35	$2,098.90	$2,623.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,110.59 / $1,429.23 / $2,447.15	Facility		$1,110.59	$1,429.23	$2,447.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $867.51 / $1,918.25 / $6,864.00	Professional		$867.51	$1,918.25	$6,864.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,417.00 / $2,119.09 / $2,865.71	Facility		$1,417.00	$2,119.09	$2,865.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,325.00 / $2,058.92 / $2,484.41	Professional		$1,325.00	$2,058.92	$2,484.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,069.09 / $1,555.67 / $1,830.08	Professional		$1,069.09	$1,555.67	$1,830.08
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 $842.48 / $1,658.65 / $2,580.12	Professional		$842.48	$1,658.65	$2,580.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,677.20 / $1,973.20 / $2,052.19	Professional		$1,677.20	$1,973.20	$2,052.19