Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.90 / $844.90 / $3,511.00	Facility		$844.90	$844.90	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.56 / $844.90 / $2,040.78	Professional		$711.56	$844.90	$2,040.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.91 / $1,917.37 / $2,396.71	Professional		$1,472.91	$1,917.37	$2,396.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,109.21 / $1,419.26 / $2,226.39	Facility		$1,109.21	$1,419.26	$2,226.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $810.92 / $1,738.38 / $6,303.36	Professional		$810.92	$1,738.38	$6,303.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,280.22 / $2,090.05 / $3,711.03	Facility		$1,280.22	$2,090.05	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,280.22 / $1,776.67 / $2,295.00	Professional		$1,280.22	$1,776.67	$2,295.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,055.17 / $1,431.39 / $1,683.88	Professional		$1,055.17	$1,431.39	$1,683.88
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 $810.92 / $1,500.98 / $2,334.86	Professional		$810.92	$1,500.98	$2,334.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,670.50 / $2,043.90 / $2,043.90	Professional		$1,670.50	$2,043.90	$2,043.90