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 / $2,208.57	Professional		$770.11	$914.57	$2,208.57
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 $1,159.63 / $1,525.20 / $2,396.04	Facility		$1,159.63	$1,525.20	$2,396.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $858.55 / $1,682.31 / $14,015.54	Professional		$858.55	$1,682.31	$14,015.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,246.61 / $2,079.52 / $2,859.45	Facility		$1,246.61	$2,079.52	$2,859.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,246.61 / $1,813.93 / $2,479.87	Professional		$1,246.61	$1,813.93	$2,479.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,044.34 / $1,549.62 / $1,822.96	Professional		$1,044.34	$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 $881.21 / $1,860.10 / $2,521.42	Professional		$881.21	$1,860.10	$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