Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.52 / $843.52 / $4,338.00	Facility		$843.52	$843.52	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.67 / $843.52 / $2,033.88	Professional		$710.67	$843.52	$2,033.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,471.71 / $1,915.81 / $2,394.76	Professional		$1,471.71	$1,915.81	$2,394.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,105.76 / $1,399.55 / $2,201.31	Facility		$1,105.76	$1,399.55	$2,201.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $835.20 / $1,721.37 / $6,285.52	Professional		$835.20	$1,721.37	$6,285.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $2,084.02 / $11,715.74	Facility		$1,392.00	$2,084.02	$11,715.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,266.50 / $1,755.67 / $2,281.32	Professional		$1,266.50	$1,755.67	$2,281.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,044.32 / $1,427.54 / $1,679.35	Professional		$1,044.32	$1,427.54	$1,679.35
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 $835.20 / $1,492.24 / $2,321.26	Professional		$835.20	$1,492.24	$2,321.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,666.00 / $2,038.40 / $2,038.40	Professional		$1,666.00	$2,038.40	$2,038.40