Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.61 / $934.61 / $4,338.00	Facility		$934.61	$934.61	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.20 / $934.61 / $2,262.38	Professional		$787.20	$934.61	$2,262.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,627.92 / $2,119.15 / $2,648.94	Professional		$1,627.92	$2,119.15	$2,648.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,228.57 / $1,607.87 / $2,477.36	Facility		$1,228.57	$1,607.87	$2,477.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $927.51 / $1,931.33 / $6,982.16	Professional		$927.51	$1,931.33	$6,982.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,423.69 / $2,315.28 / $8,461.12	Facility		$1,423.69	$2,315.28	$8,461.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,423.69 / $1,975.39 / $2,547.26	Professional		$1,423.69	$1,975.39	$2,547.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,171.15 / $1,588.59 / $1,865.66	Professional		$1,171.15	$1,588.59	$1,865.66
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $14,287.46	Facility		$5,357.00	$5,357.00	$14,287.46
United Facility/Professional Professional Modifier Low / Median / High Price $927.51 / $1,667.21 / $2,593.44	Professional		$927.51	$1,667.21	$2,593.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,850.80 / $2,264.50 / $2,264.50	Professional		$1,850.80	$2,264.50	$2,264.50