Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.27 / $876.27 / $4,338.00	Facility		$876.27	$876.27	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $876.27 / $2,125.15	Professional		$737.10	$876.27	$2,125.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,522.58 / $1,982.03 / $2,477.54	Professional		$1,522.58	$1,982.03	$2,477.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,153.82 / $1,506.82 / $2,332.71	Facility		$1,153.82	$1,506.82	$2,332.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $938.64 / $1,814.11 / $6,643.43	Professional		$938.64	$1,814.11	$6,643.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,339.21 / $2,017.56 / $2,759.34	Facility		$1,339.21	$2,017.56	$2,759.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,339.21 / $1,949.64 / $2,397.00	Professional		$1,339.21	$1,949.64	$2,397.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,102.07 / $1,495.76 / $1,751.16	Professional		$1,102.07	$1,495.76	$1,751.16
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 $950.25 / $1,727.72 / $2,438.77	Professional		$950.25	$1,727.72	$2,438.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.20 / $2,125.50 / $2,125.50	Professional		$1,737.20	$2,125.50	$2,125.50