Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.54 / $840.54 / $4,338.00	Facility		$840.54	$840.54	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.88 / $840.54 / $2,003.65	Professional		$703.88	$840.54	$2,003.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,457.35 / $1,897.11 / $2,371.39	Professional		$1,457.35	$1,897.11	$2,371.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,085.90 / $1,385.87 / $2,194.09	Facility		$1,085.90	$1,385.87	$2,194.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $784.00 / $1,728.91 / $14,641.99	Professional		$784.00	$1,728.91	$14,641.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,545.35 / $2,063.13 / $8,712.51	Facility		$1,545.35	$2,063.13	$8,712.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,272.35 / $1,761.18 / $2,261.30	Professional		$1,272.35	$1,761.18	$2,261.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,031.45 / $1,405.54 / $1,653.48	Professional		$1,031.45	$1,405.54	$1,653.48
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 $764.36 / $1,500.48 / $2,334.08	Professional		$764.36	$1,500.48	$2,334.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,640.30 / $2,007.00 / $2,007.00	Professional		$1,640.30	$2,007.00	$2,007.00