Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.96 / $953.96 / $4,338.00	Facility		$953.96	$953.96	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.06 / $953.96 / $2,294.52	Professional		$802.06	$953.96	$2,294.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,657.25 / $2,157.33 / $2,696.66	Professional		$1,657.25	$2,157.33	$2,696.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,250.99 / $1,573.12 / $2,460.13	Facility		$1,250.99	$1,573.12	$2,460.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $915.57 / $1,918.41 / $7,097.44	Professional		$915.57	$1,918.41	$7,097.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,412.98 / $2,131.00 / $2,985.65	Facility		$1,412.98	$2,131.00	$2,985.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.98 / $1,962.23 / $2,579.12	Professional		$1,412.98	$1,962.23	$2,579.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,165.81 / $1,604.53 / $1,894.12	Professional		$1,165.81	$1,604.53	$1,894.12
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 $1,004.88 / $1,905.64 / $2,609.66	Professional		$1,004.88	$1,905.64	$2,609.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,879.00 / $2,299.10 / $2,299.10	Professional		$1,879.00	$2,299.10	$2,299.10