Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.42 / $766.42 / $3,511.00	Facility		$766.42	$766.42	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.74 / $766.42 / $2,052.42	Professional		$645.74	$766.42	$2,052.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,337.05 / $1,740.51 / $2,175.64	Professional		$1,337.05	$1,740.51	$2,175.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,004.80 / $1,338.34 / $2,010.01	Facility		$1,004.80	$1,338.34	$2,010.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $822.36 / $1,569.96 / $6,555.30	Professional		$822.36	$1,569.96	$6,555.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,155.00 / $2,040.53 / $8,250.46	Facility		$1,155.00	$2,040.53	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,155.00 / $1,716.86 / $2,073.69	Professional		$1,155.00	$1,716.86	$2,073.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $953.42 / $1,297.21 / $1,526.04	Professional		$953.42	$1,297.21	$1,526.04
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 $822.36 / $1,357.70 / $2,111.98	Professional		$822.36	$1,357.70	$2,111.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.90 / $1,852.30 / $1,852.30	Professional		$1,513.90	$1,852.30	$1,852.30