Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.80 / $827.80 / $3,073.00	Facility		$827.80	$827.80	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.05 / $827.80 / $1,445.16	Professional		$681.05	$827.80	$1,445.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,793.26 / $1,811.42 / $2,241.86	Professional		$1,793.26	$1,811.42	$2,241.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $973.90 / $1,398.98 / $2,225.36	Facility		$973.90	$1,398.98	$2,225.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $970.21 / $1,633.09 / $12,630.10	Professional		$970.21	$1,633.09	$12,630.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,262.64 / $2,011.22 / $2,601.88	Facility		$1,262.64	$2,011.22	$2,601.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,490.86 / $1,839.15 / $2,245.86	Professional		$1,490.86	$1,839.15	$2,245.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,057.39 / $1,433.82 / $1,634.72	Professional		$1,057.39	$1,433.82	$1,634.72
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 $970.21 / $1,617.02 / $2,263.52	Professional		$970.21	$1,617.02	$2,263.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,557.30 / $1,832.10 / $1,905.40	Professional		$1,557.30	$1,832.10	$1,905.40