Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.14 / $942.14 / $3,511.00	Facility		$942.14	$942.14	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.90 / $942.14 / $2,169.02	Professional		$782.90	$942.14	$2,169.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,537.77 / $2,095.00 / $2,618.75	Professional		$1,537.77	$2,095.00	$2,618.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,176.00 / $1,570.94 / $2,269.37	Facility		$1,176.00	$1,570.94	$2,269.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $861.67 / $1,764.13 / $6,830.72	Professional		$861.67	$1,764.13	$6,830.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.70 / $2,091.04 / $3,711.03	Facility		$1,285.70	$2,091.04	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,285.70 / $1,818.82 / $2,504.44	Professional		$1,285.70	$1,818.82	$2,504.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,053.41 / $1,483.60 / $1,801.62	Professional		$1,053.41	$1,483.60	$1,801.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $924.07 / $1,680.12 / $2,485.39	Professional		$924.07	$1,680.12	$2,485.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,787.30 / $2,186.80 / $2,186.80	Professional		$1,787.30	$2,186.80	$2,186.80