Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.52 / $954.52 / $3,511.00	Facility		$954.52	$954.52	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.72 / $954.52 / $2,702.63	Professional		$803.72	$954.52	$2,702.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,662.63 / $2,164.34 / $2,705.42	Professional		$1,662.63	$2,164.34	$2,705.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,253.42 / $1,660.00 / $2,510.67	Facility		$1,253.42	$1,660.00	$2,510.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,026.97 / $1,960.58 / $8,630.24	Professional		$1,026.97	$1,960.58	$8,630.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,444.34 / $2,557.09 / $13,091.73	Facility		$1,444.34	$2,557.09	$13,091.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,444.34 / $2,140.44 / $2,594.60	Professional		$1,444.34	$2,140.44	$2,594.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,190.63 / $1,617.26 / $1,902.53	Professional		$1,190.63	$1,617.26	$1,902.53
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 $1,026.97 / $1,867.22 / $2,638.92	Professional		$1,026.97	$1,867.22	$2,638.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,887.40 / $2,309.30 / $2,309.30	Professional		$1,887.40	$2,309.30	$2,309.30