Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $998.82 / $998.82 / $3,511.00	Facility		$998.82	$998.82	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.95 / $998.82 / $2,321.57	Professional		$831.95	$998.82	$2,321.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,710.51 / $2,226.67 / $2,783.33	Professional		$1,710.51	$2,226.67	$2,783.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,246.97 / $1,674.30 / $2,390.77	Facility		$1,246.97	$1,674.30	$2,390.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $917.25 / $1,896.24 / $7,284.40	Professional		$917.25	$1,896.24	$7,284.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,386.27 / $2,414.09 / $3,711.03	Facility		$1,386.27	$2,414.09	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,386.27 / $1,964.00 / $2,662.02	Professional		$1,386.27	$1,964.00	$2,662.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,126.70 / $1,549.08 / $1,925.17	Professional		$1,126.70	$1,549.08	$1,925.17
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 $993.27 / $1,699.36 / $2,643.45	Professional		$993.27	$1,699.36	$2,643.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,909.80 / $2,336.80 / $2,336.80	Professional		$1,909.80	$2,336.80	$2,336.80