Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.61 / $799.61 / $3,073.00	Facility		$799.61	$799.61	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.81 / $799.61 / $1,853.22	Professional		$665.81	$799.61	$1,853.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,383.13 / $1,800.50 / $2,250.63	Professional		$1,383.13	$1,800.50	$2,250.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,049.21 / $1,301.82 / $2,138.96	Facility		$1,049.21	$1,301.82	$2,138.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $751.63 / $1,666.16 / $8,985.31	Professional		$751.63	$1,666.16	$8,985.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,225.06 / $1,942.42 / $6,855.77	Facility		$1,225.06	$1,942.42	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,225.06 / $1,654.34 / $2,106.54	Professional		$1,225.06	$1,654.34	$2,106.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $971.84 / $1,340.20 / $1,527.98	Professional		$971.84	$1,340.20	$1,527.98
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 $751.63 / $1,446.62 / $2,250.30	Professional		$751.63	$1,446.62	$2,250.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,515.80 / $1,854.60 / $1,854.60	Professional		$1,515.80	$1,854.60	$1,854.60