Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.86 / $852.86 / $3,511.00	Facility		$852.86	$852.86	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.45 / $787.52 / $1,371.62	Professional		$718.45	$787.52	$1,371.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,486.08 / $1,934.51 / $2,418.13	Professional		$1,486.08	$1,934.51	$2,418.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,119.79 / $1,441.33 / $2,249.51	Facility		$1,119.79	$1,441.33	$2,249.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $839.57 / $1,755.85 / $6,365.44	Professional		$839.57	$1,755.85	$6,365.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,293.18 / $2,110.64 / $10,457.19	Facility		$1,293.18	$2,110.64	$10,457.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,293.18 / $1,793.46 / $2,315.02	Professional		$1,293.18	$1,793.46	$2,315.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,064.38 / $1,445.14 / $1,700.05	Professional		$1,064.38	$1,445.14	$1,700.05
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 $919.73 / $1,708.96 / $2,358.58	Professional		$919.73	$1,708.96	$2,358.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,686.50 / $2,063.50 / $2,063.50	Professional		$1,686.50	$2,063.50	$2,063.50