Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.62 / $947.62 / $3,511.00	Facility		$947.62	$947.62	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.73 / $947.62 / $2,191.63	Professional		$788.73	$947.62	$2,191.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,623.73 / $2,113.69 / $2,642.12	Professional		$1,623.73	$2,113.69	$2,642.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,226.14 / $1,522.54 / $2,261.33	Facility		$1,226.14	$1,522.54	$2,261.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $869.53 / $1,792.06 / $6,887.12	Professional		$869.53	$1,792.06	$6,887.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,306.47 / $2,282.11 / $3,711.03	Facility		$1,306.47	$2,282.11	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,306.47 / $1,800.77 / $2,508.11	Professional		$1,306.47	$1,800.77	$2,508.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,065.08 / $1,477.70 / $1,819.73	Professional		$1,065.08	$1,477.70	$1,819.73
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 $938.70 / $1,866.52 / $2,486.62	Professional		$938.70	$1,866.52	$2,486.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,805.20 / $2,208.80 / $2,208.80	Professional		$1,805.20	$2,208.80	$2,208.80