Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.68 / $876.68 / $3,511.00	Facility		$876.68	$876.68	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.67 / $876.68 / $1,813.37	Professional		$738.67	$876.68	$1,813.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,529.17 / $1,990.60 / $2,488.25	Professional		$1,529.17	$1,990.60	$2,488.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,149.48 / $1,481.59 / $2,290.78	Facility		$1,149.48	$1,481.59	$2,290.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $849.12 / $1,790.52 / $6,535.04	Professional		$849.12	$1,790.52	$6,535.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,317.55 / $2,166.73 / $3,711.03	Facility		$1,317.55	$2,166.73	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,317.55 / $1,827.07 / $2,372.41	Professional		$1,317.55	$1,827.07	$2,372.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,086.80 / $1,483.63 / $1,745.34	Professional		$1,086.80	$1,483.63	$1,745.34
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $849.12 / $1,551.31 / $2,413.15	Professional		$849.12	$1,551.31	$2,413.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,731.40 / $2,118.50 / $2,118.50	Professional		$1,731.40	$2,118.50	$2,118.50