Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.92 / $854.92 / $4,338.00	Facility		$854.92	$854.92	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.08 / $854.92 / $2,060.38	Professional		$720.08	$854.92	$2,060.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,490.86 / $1,940.74 / $2,425.92	Professional		$1,490.86	$1,940.74	$2,425.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,074.67 / $1,429.46 / $1,947.16	Facility		$1,074.67	$1,429.46	$1,947.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $802.54 / $1,663.70 / $7,235.13	Professional		$802.54	$1,663.70	$7,235.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,226.91 / $1,937.94 / $2,668.61	Facility		$1,226.91	$1,937.94	$2,668.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,226.91 / $1,687.51 / $2,311.39	Professional		$1,226.91	$1,687.51	$2,311.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $976.25 / $1,268.45 / $1,701.35	Professional		$976.25	$1,268.45	$1,701.35
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 $798.59 / $1,511.32 / $2,350.94	Professional		$798.59	$1,511.32	$2,350.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,687.80 / $2,065.10 / $2,065.10	Professional		$1,687.80	$2,065.10	$2,065.10