Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.04 / $863.04 / $3,511.00	Facility		$863.04	$863.04	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.68 / $863.04 / $1,989.43	Professional		$717.68	$863.04	$1,989.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,477.10 / $1,922.82 / $2,403.52	Professional		$1,477.10	$1,922.82	$2,403.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,115.27 / $1,373.19 / $1,998.93	Facility		$1,115.27	$1,373.19	$1,998.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $792.22 / $1,596.32 / $6,258.24	Professional		$792.22	$1,596.32	$6,258.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,163.57 / $2,073.64 / $3,711.03	Facility		$1,163.57	$2,073.64	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,163.57 / $1,634.22 / $2,281.32	Professional		$1,163.57	$1,634.22	$2,281.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $916.96 / $1,297.19 / $1,652.83	Professional		$916.96	$1,297.19	$1,652.83
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 $792.22 / $1,449.65 / $2,255.01	Professional		$792.22	$1,449.65	$2,255.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,639.70 / $2,006.20 / $2,006.20	Professional		$1,639.70	$2,006.20	$2,006.20