Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.96 / $909.96 / $3,511.00	Facility		$909.96	$909.96	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.30 / $909.96 / $2,240.92	Professional		$766.30	$909.96	$2,240.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,585.43 / $2,063.84 / $2,579.79	Professional		$1,585.43	$2,063.84	$2,579.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,194.08 / $1,564.60 / $2,384.71	Facility		$1,194.08	$1,564.60	$2,384.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $976.56 / $1,864.34 / $7,172.28	Professional		$976.56	$1,864.34	$7,172.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,372.76 / $2,389.21 / $15,588.16	Facility		$1,372.76	$2,389.21	$15,588.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,372.76 / $2,040.01 / $2,468.02	Professional		$1,372.76	$2,040.01	$2,468.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,130.99 / $1,541.37 / $1,813.26	Professional		$1,130.99	$1,541.37	$1,813.26
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 $976.56 / $1,613.12 / $2,509.30	Professional		$976.56	$1,613.12	$2,509.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,798.80 / $2,200.90 / $2,200.90	Professional		$1,798.80	$2,200.90	$2,200.90