Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.47 / $972.47 / $4,338.00	Facility		$972.47	$972.47	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.74 / $972.47 / $972.47	Professional		$904.74	$972.47	$972.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,892.78 / $2,006.96 / $2,508.69	Professional		$1,892.78	$2,006.96	$2,508.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.92 / $1,643.47 / $2,845.87	Facility		$1,202.92	$1,643.47	$2,845.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.58 / $2,041.06 / $7,091.00	Professional		$1,122.58	$2,041.06	$7,091.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $2,293.92 / $2,996.08	Facility		$1,872.00	$2,293.92	$2,996.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,705.00 / $2,102.60 / $2,590.96	Professional		$1,705.00	$2,102.60	$2,590.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,220.42 / $1,639.22 / $1,868.89	Professional		$1,220.42	$1,639.22	$1,868.89
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 $1,122.58 / $1,880.98 / $2,582.30	Professional		$1,122.58	$1,880.98	$2,582.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,927.70 / $2,267.90 / $2,358.60	Professional		$1,927.70	$2,267.90	$2,358.60