Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.84 / $994.84 / $3,073.00	Facility		$994.84	$994.84	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.26 / $976.96 / $1,584.80	Professional		$835.26	$976.96	$1,584.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,719.49 / $2,238.35 / $2,797.94	Professional		$1,719.49	$2,238.35	$2,797.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,199.84 / $1,594.23 / $2,678.29	Facility		$1,199.84	$1,594.23	$2,678.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,094.41 / $2,089.33 / $7,420.16	Professional		$1,094.41	$2,089.33	$7,420.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,802.85 / $2,286.77 / $2,896.58	Facility		$1,802.85	$2,286.77	$2,896.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,444.50 / $2,099.69 / $2,684.78	Professional		$1,444.50	$2,099.69	$2,684.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,260.65 / $1,705.21 / $1,967.22	Professional		$1,260.65	$1,705.21	$1,967.22
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $375.12 / $375.12 / $375.12	Professional	AS	$375.12	$375.12	$375.12
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 $1,094.41 / $1,778.06 / $2,765.87	Professional		$1,094.41	$1,778.06	$2,765.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,951.60 / $2,387.80 / $2,387.80	Professional		$1,951.60	$2,387.80	$2,387.80