Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.85 / $861.85 / $4,338.00	Facility		$861.85	$861.85	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.79 / $861.85 / $2,011.07	Professional		$718.79	$861.85	$2,011.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,492.66 / $1,943.08 / $2,428.84	Professional		$1,492.66	$1,943.08	$2,428.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,135.76 / $1,438.73 / $2,368.96	Facility		$1,135.76	$1,438.73	$2,368.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $829.22 / $1,812.38 / $13,243.52	Professional		$829.22	$1,812.38	$13,243.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,585.97 / $2,105.37 / $6,855.77	Facility		$1,585.97	$2,105.37	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,336.55 / $1,725.74 / $2,273.13	Professional		$1,336.55	$1,725.74	$2,273.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,045.11 / $1,451.41 / $1,654.77	Professional		$1,045.11	$1,451.41	$1,654.77
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 $757.09 / $1,554.39 / $2,417.94	Professional		$757.09	$1,554.39	$2,417.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,641.60 / $2,008.50 / $2,008.50	Professional		$1,641.60	$2,008.50	$2,008.50