Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.39 / $879.39 / $3,511.00	Facility		$879.39	$879.39	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.81 / $879.39 / $879.39	Professional		$766.81	$879.39	$879.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,882.57 / $2,071.63 / $2,589.53	Professional		$1,882.57	$2,071.63	$2,589.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,062.33 / $1,411.46 / $2,356.79	Facility		$1,062.33	$1,411.46	$2,356.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $855.43 / $1,893.03 / $6,763.20	Professional		$855.43	$1,893.03	$6,763.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,388.00 / $2,025.45 / $2,408.09	Facility		$1,388.00	$2,025.45	$2,408.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,305.00 / $2,025.45 / $2,466.83	Professional		$1,305.00	$2,025.45	$2,466.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,035.00 / $1,498.66 / $1,800.32	Professional		$1,035.00	$1,498.66	$1,800.32
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 $968.53 / $1,760.96 / $2,520.06	Professional		$968.53	$1,760.96	$2,520.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,650.00 / $1,941.10 / $2,018.80	Professional		$1,650.00	$1,941.10	$2,018.80