Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.57 / $914.57 / $4,338.00	Facility		$914.57	$914.57	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.11 / $914.57 / $1,579.57	Professional		$770.11	$914.57	$1,579.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,595.00 / $2,076.30 / $2,595.38	Professional		$1,595.00	$2,076.30	$2,595.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,191.02 / $1,540.22 / $2,396.04	Facility		$1,191.02	$1,540.22	$2,396.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $878.56 / $1,872.32 / $11,680.42	Professional		$878.56	$1,872.32	$11,680.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,378.34 / $2,075.63 / $2,859.45	Facility		$1,378.34	$2,075.63	$2,859.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,378.34 / $1,912.54 / $2,479.87	Professional		$1,378.34	$1,912.54	$2,479.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,136.57 / $1,549.62 / $1,822.96	Professional		$1,136.57	$1,549.62	$1,822.96
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 $980.74 / $1,620.92 / $2,521.42	Professional		$980.74	$1,620.92	$2,521.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,808.50 / $2,212.69 / $2,212.69	Professional		$1,808.50	$2,212.69	$2,212.69