Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.37 / $821.37 / $3,073.00	Facility		$821.37	$821.37	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.44 / $734.37 / $1,290.74	Professional		$692.44	$734.37	$1,290.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,438.20 / $1,872.18 / $2,340.21	Professional		$1,438.20	$1,872.18	$2,340.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $994.69 / $1,295.09 / $2,100.92	Facility		$994.69	$1,295.09	$2,100.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $772.38 / $1,654.86 / $6,088.40	Professional		$772.38	$1,654.86	$6,088.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,211.79 / $2,018.09 / $8,250.46	Facility		$1,211.79	$2,018.09	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,211.79 / $1,677.30 / $2,193.89	Professional		$1,211.79	$1,677.30	$2,193.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,371.52 / $1,628.25	Professional		$893.52	$1,371.52	$1,628.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $866.83 / $1,576.06 / $2,233.44	Professional		$866.83	$1,576.06	$2,233.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,615.30 / $1,976.30 / $1,976.30	Professional		$1,615.30	$1,976.30	$1,976.30