Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.54 / $928.54 / $3,511.00	Facility		$928.54	$928.54	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.69 / $928.54 / $2,316.92	Professional		$750.69	$928.54	$2,316.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,873.52 / $1,974.24 / $2,467.80	Professional		$1,873.52	$1,974.24	$2,467.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $925.93 / $1,364.01 / $2,184.80	Facility		$925.93	$1,364.01	$2,184.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $980.45 / $1,634.08 / $6,691.93	Professional		$980.45	$1,634.08	$6,691.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,333.00 / $2,247.19 / $3,013.58	Facility		$1,333.00	$2,247.19	$3,013.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,902.47 / $2,373.15	Professional		$1,224.00	$1,902.47	$2,373.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,022.44 / $1,427.49 / $1,691.00	Professional		$1,022.44	$1,427.49	$1,691.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $980.45 / $1,517.45 / $2,360.48	Professional		$980.45	$1,517.45	$2,360.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,610.90 / $1,895.20 / $1,971.00	Professional		$1,610.90	$1,895.20	$1,971.00