Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.04 / $781.04 / $3,511.00	Facility		$781.04	$781.04	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.20 / $781.04 / $1,886.88	Professional		$658.20	$781.04	$1,886.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,363.38 / $1,774.79 / $2,218.48	Professional		$1,363.38	$1,774.79	$2,218.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,024.29 / $1,288.00 / $2,050.17	Facility		$1,024.29	$1,288.00	$2,050.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $761.59 / $1,603.92 / $5,823.92	Professional		$761.59	$1,603.92	$5,823.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,180.75 / $1,930.99 / $8,250.46	Facility		$1,180.75	$1,930.99	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,180.75 / $1,593.84 / $2,117.39	Professional		$1,180.75	$1,593.84	$2,117.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $960.82 / $1,324.16 / $1,557.74	Professional		$960.82	$1,324.16	$1,557.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $840.15 / $1,385.53 / $2,155.27	Professional		$840.15	$1,385.53	$2,155.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,545.30 / $1,890.80 / $1,890.80	Professional		$1,545.30	$1,890.80	$1,890.80