Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.57 / $795.57 / $4,338.00	Facility		$795.57	$795.57	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.99 / $795.57 / $1,917.05	Professional		$669.99	$795.57	$1,917.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,388.52 / $1,807.51 / $2,259.39	Professional		$1,388.52	$1,807.51	$2,259.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $1,344.51 / $2,067.55	Facility		$1,040.08	$1,344.51	$2,067.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $757.60 / $1,613.85 / $5,920.16	Professional		$757.60	$1,613.85	$5,920.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $1,962.79 / $8,250.46	Facility		$1,392.00	$1,962.79	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,186.80 / $1,648.81 / $2,146.54	Professional		$1,186.80	$1,648.81	$2,146.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $977.17 / $1,346.16 / $1,583.61	Professional		$977.17	$1,346.16	$1,583.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $757.60 / $1,421.73 / $2,183.19	Professional		$757.60	$1,421.73	$2,183.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,571.00 / $1,922.20 / $1,922.20	Professional		$1,571.00	$1,922.20	$1,922.20