Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.68 / $924.68 / $3,511.00	Facility		$924.68	$924.68	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $924.68 / $2,137.80	Professional		$769.17	$924.68	$2,137.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,581.84 / $2,059.16 / $2,573.94	Professional		$1,581.84	$2,059.16	$2,573.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,197.22 / $1,545.66 / $2,218.35	Facility		$1,197.22	$1,545.66	$2,218.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $853.90 / $1,756.80 / $6,720.88	Professional		$853.90	$1,756.80	$6,720.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,281.33 / $2,227.11 / $3,711.03	Facility		$1,281.33	$2,227.11	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,281.33 / $1,771.56 / $2,451.63	Professional		$1,281.33	$1,771.56	$2,451.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,027.10 / $1,449.38 / $1,774.45	Professional		$1,027.10	$1,449.38	$1,774.45
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 $853.90 / $1,562.98 / $2,431.30	Professional		$853.90	$1,562.98	$2,431.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,760.30 / $2,153.80 / $2,153.80	Professional		$1,760.30	$2,153.80	$2,153.80