Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.07 / $4,338.00 / $13,573.67	Facility		$883.07	$4,338.00	$13,573.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.43 / $883.07 / $2,362.06	Professional		$735.43	$883.07	$2,362.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,527.37 / $1,988.26 / $2,485.33	Professional		$1,527.37	$1,988.26	$2,485.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,120.77 / $1,433.00 / $2,216.48	Facility		$1,120.77	$1,433.00	$2,216.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $818.11 / $1,731.87 / $7,988.04	Professional		$818.11	$1,731.87	$7,988.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,274.75 / $2,141.44 / $6,855.77	Facility		$1,274.75	$2,141.44	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,274.75 / $1,792.56 / $2,321.52	Professional		$1,274.75	$1,792.56	$2,321.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,034.46 / $1,431.94 / $1,684.53	Professional		$1,034.46	$1,431.94	$1,684.53
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $814.10 / $1,721.62 / $2,478.53	Professional		$814.10	$1,721.62	$2,478.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,671.10 / $2,044.70 / $2,044.70	Professional		$1,671.10	$2,044.70	$2,044.70