Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.02 / $822.02 / $3,511.00	Facility		$822.02	$822.02	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.78 / $822.02 / $1,874.02	Professional		$681.78	$822.02	$1,874.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,402.29 / $1,825.43 / $2,281.79	Professional		$1,402.29	$1,825.43	$2,281.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,058.16 / $1,364.37 / $1,893.53	Facility		$1,058.16	$1,364.37	$1,893.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.80 / $1,521.66 / $5,922.40	Professional		$758.80	$1,521.66	$5,922.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,104.92 / $1,961.95 / $3,711.03	Facility		$1,104.92	$1,961.95	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,104.92 / $1,567.00 / $2,167.50	Professional		$1,104.92	$1,567.00	$2,167.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $822.44 / $1,227.58 / $1,559.68	Professional		$822.44	$1,227.58	$1,559.68
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 $797.06 / $1,521.66 / $2,143.01	Professional		$797.06	$1,521.66	$2,143.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,547.30 / $1,893.10 / $1,893.10	Professional		$1,547.30	$1,893.10	$1,893.10