Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.86 / $853.86 / $3,511.00	Facility		$853.86	$853.86	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.29 / $853.86 / $2,062.44	Professional		$719.29	$853.86	$2,062.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,488.47 / $1,937.62 / $2,422.03	Professional		$1,488.47	$1,937.62	$2,422.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,120.69 / $1,443.02 / $2,249.60	Facility		$1,120.69	$1,443.02	$2,249.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $801.66 / $1,702.32 / $6,369.92	Professional		$801.66	$1,702.32	$6,369.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,255.22 / $2,112.10 / $8,250.46	Facility		$1,255.22	$2,112.10	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,255.22 / $1,794.93 / $2,316.84	Professional		$1,255.22	$1,794.93	$2,316.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,039.19 / $1,446.79 / $1,701.99	Professional		$1,039.19	$1,446.79	$1,701.99
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 $891.69 / $1,711.68 / $2,360.23	Professional		$891.69	$1,711.68	$2,360.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,688.40 / $2,065.90 / $2,065.90	Professional		$1,688.40	$2,065.90	$2,065.90