Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.03 / $936.03 / $3,511.00	Facility		$936.03	$936.03	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.11 / $936.03 / $2,262.55	Professional		$788.11	$936.03	$2,262.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,631.51 / $2,123.83 / $2,654.78	Professional		$1,631.51	$2,123.83	$2,654.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,228.81 / $1,581.89 / $2,458.64	Facility		$1,228.81	$1,581.89	$2,458.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $937.06 / $1,933.89 / $8,623.71	Professional		$937.06	$1,933.89	$8,623.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,424.26 / $2,264.21 / $3,711.03	Facility		$1,424.26	$2,264.21	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,424.26 / $1,962.93 / $2,540.89	Professional		$1,424.26	$1,962.93	$2,540.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,166.17 / $1,587.01 / $1,866.95	Professional		$1,166.17	$1,587.01	$1,866.95
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 $1,012.99 / $1,841.80 / $2,585.41	Professional		$1,012.99	$1,841.80	$2,585.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,852.10 / $2,266.10 / $2,266.10	Professional		$1,852.10	$2,266.10	$2,266.10