Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.15 / $951.15 / $4,338.00	Facility		$951.15	$951.15	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.90 / $951.15 / $2,294.40	Professional		$801.90	$951.15	$2,294.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,661.44 / $2,162.78 / $2,703.48	Professional		$1,661.44	$2,162.78	$2,703.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,246.49 / $1,607.44 / $2,491.78	Facility		$1,246.49	$1,607.44	$2,491.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $983.21 / $1,943.95 / $7,090.40	Professional		$983.21	$1,943.95	$7,090.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,429.91 / $2,429.96 / $11,238.10	Facility		$1,429.91	$2,429.96	$11,238.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,429.91 / $2,023.91 / $2,570.01	Professional		$1,429.91	$2,023.91	$2,570.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,177.01 / $1,610.66 / $1,894.77	Professional		$1,177.01	$1,610.66	$1,894.77
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $983.21 / $1,683.59 / $2,618.92	Professional		$983.21	$1,683.59	$2,618.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,879.70 / $2,299.90 / $2,299.90	Professional		$1,879.70	$2,299.90	$2,299.90