Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.37 / $908.37 / $3,511.00	Facility		$908.37	$908.37	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.33 / $908.37 / $2,196.02	Professional		$766.33	$908.37	$2,196.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,879.03 / $2,067.73 / $2,584.66	Professional		$1,879.03	$2,067.73	$2,584.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,145.91 / $1,497.68 / $2,389.98	Facility		$1,145.91	$1,497.68	$2,389.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $855.48 / $1,846.28 / $6,778.88	Professional		$855.48	$1,846.28	$6,778.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,358.87 / $2,247.54 / $12,194.81	Facility		$1,358.87	$2,247.54	$12,194.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,358.87 / $1,905.99 / $2,459.82	Professional		$1,358.87	$1,905.99	$2,459.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,120.16 / $1,541.37 / $1,813.26	Professional		$1,120.16	$1,541.37	$1,813.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $14,287.46	Facility		$4,500.00	$4,500.00	$14,287.46
United Facility/Professional Professional Modifier Low / Median / High Price $855.48 / $1,612.17 / $2,507.82	Professional		$855.48	$1,612.17	$2,507.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,798.80 / $2,200.90 / $2,200.90	Professional		$1,798.80	$2,200.90	$2,200.90