Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.75 / $783.75 / $4,338.00	Facility		$783.75	$783.75	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.57 / $783.75 / $1,887.18	Professional		$660.57	$783.75	$1,887.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,368.17 / $1,781.02 / $2,226.28	Professional		$1,368.17	$1,781.02	$2,226.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,026.27 / $1,324.54 / $2,034.86	Facility		$1,026.27	$1,324.54	$2,034.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.29 / $1,574.31 / $5,864.72	Professional		$741.29	$1,574.31	$5,864.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $1,934.84 / $11,867.36	Facility		$1,392.00	$1,934.84	$11,867.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,157.85 / $1,624.00 / $2,113.76	Professional		$1,157.85	$1,624.00	$2,113.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $958.22 / $1,325.26 / $1,559.03	Professional		$958.22	$1,325.26	$1,559.03
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 $693.59 / $1,381.73 / $2,149.36	Professional		$693.59	$1,381.73	$2,149.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,546.60 / $1,892.30 / $1,892.30	Professional		$1,546.60	$1,892.30	$1,892.30