Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.80 / $883.80 / $4,338.00	Facility		$883.80	$883.80	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.06 / $883.80 / $1,403.00	Professional		$745.06	$883.80	$1,403.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,541.74 / $2,006.96 / $2,508.69	Professional		$1,541.74	$2,006.96	$2,508.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,160.59 / $1,458.79 / $2,331.91	Facility		$1,160.59	$1,458.79	$2,331.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $868.62 / $1,814.34 / $6,601.92	Professional		$868.62	$1,814.34	$6,601.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,336.74 / $2,189.05 / $8,250.46	Facility		$1,336.74	$2,189.05	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,336.74 / $1,859.22 / $2,401.54	Professional		$1,336.74	$1,859.22	$2,401.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,101.64 / $1,500.13 / $1,764.74	Professional		$1,101.64	$1,500.13	$1,764.74
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 $950.37 / $1,772.68 / $2,446.92	Professional		$950.37	$1,772.68	$2,446.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,750.70 / $2,142.00 / $2,142.00	Professional		$1,750.70	$2,142.00	$2,142.00