Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.42 / $930.42 / $4,338.00	Facility		$930.42	$930.42	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $783.20 / $930.42 / $2,248.38	Professional		$783.20	$930.42	$2,248.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.34 / $2,110.58 / $2,638.23	Professional		$1,621.34	$2,110.58	$2,638.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,221.35 / $1,546.38 / $2,445.25	Facility		$1,221.35	$1,546.38	$2,445.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $904.03 / $1,929.50 / $6,937.60	Professional		$904.03	$1,929.50	$6,937.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,421.03 / $2,300.34 / $23,601.29	Facility		$1,421.03	$2,300.34	$23,601.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,421.03 / $1,915.31 / $2,524.50	Professional		$1,421.03	$1,915.31	$2,524.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,145.58 / $1,575.03 / $1,855.31	Professional		$1,145.58	$1,575.03	$1,855.31
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $904.03 / $1,699.80 / $2,568.13	Professional		$904.03	$1,699.80	$2,568.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,840.50 / $2,252.00 / $2,252.00	Professional		$1,840.50	$2,252.00	$2,252.00