Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.42 / $887.42 / $4,338.00	Facility		$887.42	$887.42	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.81 / $887.42 / $2,148.38	Professional		$747.81	$887.42	$2,148.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,831.60 / $2,015.53 / $2,519.41	Professional		$1,831.60	$2,015.53	$2,519.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,134.00 / $1,485.23 / $2,341.19	Facility		$1,134.00	$1,485.23	$2,341.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $872.20 / $1,822.95 / $6,626.80	Professional		$872.20	$1,822.95	$6,626.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,343.21 / $2,023.62 / $2,769.77	Facility		$1,343.21	$2,023.62	$2,769.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,343.21 / $1,862.86 / $2,400.63	Professional		$1,343.21	$1,862.86	$2,400.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,103.74 / $1,506.73 / $1,772.51	Professional		$1,103.74	$1,506.73	$1,772.51
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $872.20 / $1,605.93 / $2,451.23	Professional		$872.20	$1,605.93	$2,451.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,758.40 / $2,151.40 / $2,151.40	Professional		$1,758.40	$2,151.40	$2,151.40