Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.34 / $793.34 / $3,511.00	Facility		$793.34	$793.34	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.39 / $793.34 / $1,899.70	Professional		$668.39	$793.34	$1,899.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,461.64 / $1,830.89 / $2,288.61	Professional		$1,461.64	$1,830.89	$2,288.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,050.79 / $1,324.72 / $2,428.82	Facility		$1,050.79	$1,324.72	$2,428.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $878.16 / $1,896.76 / $6,294.01	Professional		$878.16	$1,896.76	$6,294.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,396.16 / $2,044.07 / $3,276.96	Facility		$1,396.16	$2,044.07	$3,276.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,396.16 / $1,794.96 / $2,099.33	Professional		$1,396.16	$1,794.96	$2,099.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,014.50 / $1,368.57 / $1,569.72	Professional		$1,014.50	$1,368.57	$1,569.72
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 $878.16 / $1,570.50 / $2,331.08	Professional		$878.16	$1,570.50	$2,331.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,547.90 / $1,893.90 / $1,893.90	Professional		$1,547.90	$1,893.90	$1,893.90