Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.01 / $781.01 / $4,338.00	Facility		$781.01	$781.01	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.56 / $781.01 / $1,887.20	Professional		$658.56	$781.01	$1,887.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,365.18 / $1,777.13 / $2,221.41	Professional		$1,365.18	$1,777.13	$2,221.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.79 / $1,287.53 / $2,070.53	Facility		$1,023.79	$1,287.53	$2,070.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $737.31 / $1,615.49 / $5,824.16	Professional		$737.31	$1,615.49	$5,824.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,444.39 / $2,081.39 / $3,711.03	Facility		$1,444.39	$2,081.39	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,188.29 / $1,629.84 / $2,111.92	Professional		$1,188.29	$1,629.84	$2,111.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $955.25 / $1,328.66 / $1,558.38	Professional		$955.25	$1,328.66	$1,558.38
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 $694.82 / $1,538.56 / $2,150.85	Professional		$694.82	$1,538.56	$2,150.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,546.00 / $1,891.50 / $1,891.50	Professional		$1,546.00	$1,891.50	$1,891.50