Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.61 / $6,311.14 / $6,311.14	Facility		$942.61	$6,311.14	$6,311.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.40 / $942.61 / $3,649.50	Professional		$849.40	$942.61	$3,649.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,061.69 / $2,268.73 / $2,835.92	Professional		$2,061.69	$2,268.73	$2,835.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,195.53 / $1,546.89 / $2,835.53	Facility		$1,195.53	$1,546.89	$2,835.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $937.51 / $2,141.06 / $9,966.91	Professional		$937.51	$2,141.06	$9,966.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,463.04 / $5,269.25	Facility		$1,547.00	$2,463.04	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,538.76 / $2,157.67 / $2,707.03	Professional		$1,538.76	$2,157.67	$2,707.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,215.57 / $1,682.14 / $1,978.87	Professional		$1,215.57	$1,682.14	$1,978.87
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 $1,195.01 / $1,991.68 / $2,794.71	Professional		$1,195.01	$1,991.68	$2,794.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,963.10 / $2,309.50 / $2,401.90	Professional		$1,963.10	$2,309.50	$2,401.90