Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.13 / $867.13 / $4,338.00	Facility		$867.13	$867.13	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.17 / $867.13 / $1,366.00	Professional		$719.17	$867.13	$1,366.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,487.87 / $1,936.84 / $2,421.05	Professional		$1,487.87	$1,936.84	$2,421.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,068.82 / $1,404.78 / $2,074.73	Facility		$1,068.82	$1,404.78	$2,074.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $803.76 / $1,876.79 / $8,519.70	Professional		$803.76	$1,876.79	$8,519.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,578.37 / $2,092.71 / $3,276.96	Facility		$1,578.37	$2,092.71	$3,276.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,373.92 / $1,798.02 / $2,277.07	Professional		$1,373.92	$1,798.02	$2,277.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $953.36 / $1,332.44 / $1,639.24	Professional		$953.36	$1,332.44	$1,639.24
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 $983.08 / $1,591.72 / $2,476.01	Professional		$983.08	$1,591.72	$2,476.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,626.20 / $1,989.70 / $1,989.70	Professional		$1,626.20	$1,989.70	$1,989.70