Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.46 / $862.46 / $4,338.00	Facility		$862.46	$862.46	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.52 / $862.46 / $2,108.42	Professional		$725.52	$862.46	$2,108.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,497.45 / $1,949.31 / $2,436.64	Professional		$1,497.45	$1,949.31	$2,436.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,135.43 / $1,481.12 / $2,292.65	Facility		$1,135.43	$1,481.12	$2,292.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $922.90 / $1,761.90 / $6,777.50	Professional		$922.90	$1,761.90	$6,777.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,301.56 / $1,983.08 / $2,715.54	Facility		$1,301.56	$1,983.08	$2,715.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,301.56 / $1,935.95 / $2,358.73	Professional		$1,301.56	$1,935.95	$2,358.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,070.63 / $1,469.65 / $1,720.75	Professional		$1,070.63	$1,469.65	$1,720.75
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 $922.90 / $1,542.80 / $2,399.91	Professional		$922.90	$1,542.80	$2,399.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,707.10 / $2,088.60 / $2,088.60	Professional		$1,707.10	$2,088.60	$2,088.60