Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.88 / $846.88 / $3,511.00	Facility		$846.88	$846.88	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.16 / $846.88 / $1,412.91	Professional		$721.16	$846.88	$1,412.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,502.83 / $1,956.32 / $2,445.40	Professional		$1,502.83	$1,956.32	$2,445.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,035.95 / $1,311.26 / $2,150.57	Facility		$1,035.95	$1,311.26	$2,150.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $811.39 / $1,714.19 / $6,395.04	Professional		$811.39	$1,714.19	$6,395.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,257.28 / $1,956.28 / $2,662.37	Facility		$1,257.28	$1,956.28	$2,662.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,257.28 / $1,798.95 / $2,330.50	Professional		$1,257.28	$1,798.95	$2,330.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,017.91 / $1,403.37 / $1,768.62	Professional		$1,017.91	$1,403.37	$1,768.62
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $897.91 / $1,510.12 / $2,333.48	Professional		$897.91	$1,510.12	$2,333.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,754.50 / $2,146.69 / $2,146.69	Professional		$1,754.50	$2,146.69	$2,146.69