Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.72 / $917.72 / $3,511.00	Facility		$917.72	$917.72	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.53 / $917.72 / $2,861.88	Professional		$773.53	$917.72	$2,861.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,606.43 / $2,056.82 / $2,571.03	Professional		$1,606.43	$2,056.82	$2,571.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,111.18 / $1,532.19 / $2,584.36	Facility		$1,111.18	$1,532.19	$2,584.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,011.26 / $1,930.59 / $7,009.20	Professional		$1,011.26	$1,930.59	$7,009.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,443.02 / $2,136.80 / $3,042.99	Facility		$1,443.02	$2,136.80	$3,042.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,443.02 / $2,136.80 / $2,615.76	Professional		$1,443.02	$2,136.80	$2,615.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,214.70 / $1,655.89 / $1,899.30	Professional		$1,214.70	$1,655.89	$1,899.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,011.26 / $1,838.66 / $2,631.89	Professional		$1,011.26	$1,838.66	$2,631.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,884.20 / $2,305.30 / $2,305.30	Professional		$1,884.20	$2,305.30	$2,305.30