Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.17 / $774.17 / $3,073.00	Facility		$774.17	$774.17	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.66 / $774.17 / $1,932.21	Professional		$652.66	$774.17	$1,932.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,353.21 / $1,761.55 / $2,201.92	Professional		$1,353.21	$1,761.55	$2,201.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,014.20 / $1,275.75 / $2,029.09	Facility		$1,014.20	$1,275.75	$2,029.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $727.96 / $1,567.67 / $8,062.34	Professional		$727.96	$1,567.67	$8,062.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,153.91 / $1,848.57 / $3,711.03	Facility		$1,153.91	$1,848.57	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,153.91 / $1,533.67 / $2,092.80	Professional		$1,153.91	$1,533.67	$2,092.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $934.12 / $1,310.96 / $1,542.21	Professional		$934.12	$1,310.96	$1,542.21
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 $688.37 / $1,371.51 / $2,133.46	Professional		$688.37	$1,371.51	$2,133.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,529.90 / $1,871.90 / $1,871.90	Professional		$1,529.90	$1,871.90	$1,871.90