Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.53 / $909.53 / $3,511.00	Facility		$909.53	$909.53	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.36 / $909.53 / $2,176.52	Professional		$762.36	$909.53	$2,176.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,581.24 / $2,058.38 / $2,572.98	Professional		$1,581.24	$2,058.38	$2,572.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,193.66 / $1,500.23 / $2,360.27	Facility		$1,193.66	$1,500.23	$2,360.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $860.26 / $1,897.06 / $8,385.95	Professional		$860.26	$1,897.06	$8,385.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,674.43 / $2,316.23 / $6,855.77	Facility		$1,674.43	$2,316.23	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,395.94 / $1,845.11 / $2,448.91	Professional		$1,395.94	$1,845.11	$2,448.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,085.51 / $1,492.45 / $1,795.79	Professional		$1,085.51	$1,492.45	$1,795.79
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 $993.70 / $1,830.14 / $2,539.96	Professional		$993.70	$1,830.14	$2,539.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,781.50 / $2,179.69 / $2,179.69	Professional		$1,781.50	$2,179.69	$2,179.69