Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.92 / $999.92 / $4,338.00	Facility		$999.92	$999.92	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.47 / $999.92 / $2,386.88	Professional		$836.47	$999.92	$2,386.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,727.27 / $2,248.48 / $2,810.60	Professional		$1,727.27	$2,248.48	$2,810.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,201.58 / $1,601.34 / $2,646.65	Facility		$1,201.58	$1,601.34	$2,646.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $930.08 / $2,074.59 / $8,440.44	Professional		$930.08	$2,074.59	$8,440.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,529.60 / $2,286.71 / $3,119.11	Facility		$1,529.60	$2,286.71	$3,119.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,529.60 / $2,064.50 / $2,705.71	Professional		$1,529.60	$2,064.50	$2,705.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,243.40 / $1,681.42 / $1,967.22	Professional		$1,243.40	$1,681.42	$1,967.22
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 $915.17 / $1,798.97 / $2,798.40	Professional		$915.17	$1,798.97	$2,798.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,951.60 / $2,387.80 / $2,387.80	Professional		$1,951.60	$2,387.80	$2,387.80