Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.92 / $895.92 / $4,338.00	Facility		$895.92	$895.92	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.61 / $895.92 / $2,162.42	Professional		$754.61	$895.92	$2,162.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,561.49 / $2,032.67 / $2,540.84	Professional		$1,561.49	$2,032.67	$2,540.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,175.47 / $1,509.22 / $2,347.13	Facility		$1,175.47	$1,509.22	$2,347.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $865.43 / $1,832.54 / $7,433.26	Professional		$865.43	$1,832.54	$7,433.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $2,215.13 / $11,786.21	Facility		$1,392.00	$2,215.13	$11,786.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,349.22 / $1,870.18 / $2,428.87	Professional		$1,349.22	$1,870.18	$2,428.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,113.40 / $1,517.17 / $1,784.80	Professional		$1,113.40	$1,517.17	$1,784.80
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 $798.50 / $1,454.32 / $2,469.40	Professional		$798.50	$1,454.32	$2,469.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,770.60 / $2,166.40 / $2,166.40	Professional		$1,770.60	$2,166.40	$2,166.40