Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.05 / $963.05 / $4,338.00	Facility		$963.05	$963.05	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.79 / $963.05 / $2,326.52	Professional		$810.79	$963.05	$2,326.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,677.00 / $2,183.04 / $2,728.80	Professional		$1,677.00	$2,183.04	$2,728.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,264.75 / $1,655.32 / $2,533.91	Facility		$1,264.75	$1,655.32	$2,533.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $943.02 / $1,925.07 / $7,220.28	Professional		$943.02	$1,925.07	$7,220.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,780.81 / $2,382.37 / $8,250.46	Facility		$1,780.81	$2,382.37	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,420.37 / $2,013.76 / $2,616.46	Professional		$1,420.37	$2,013.76	$2,616.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,168.82 / $1,631.55 / $1,919.35	Professional		$1,168.82	$1,631.55	$1,919.35
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 $1,008.37 / $1,833.40 / $2,662.52	Professional		$1,008.37	$1,833.40	$2,662.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,904.10 / $2,329.69 / $2,329.69	Professional		$1,904.10	$2,329.69	$2,329.69