Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.29 / $958.29 / $4,338.00	Facility		$958.29	$958.29	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.86 / $958.29 / $1,012.01	Professional		$862.86	$958.29	$1,012.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,092.85 / $2,303.02 / $2,878.77	Professional		$2,092.85	$2,303.02	$2,878.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,233.89 / $1,602.83 / $2,887.37	Facility		$1,233.89	$1,602.83	$2,887.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $952.40 / $2,114.19 / $7,552.64	Professional		$952.40	$2,114.19	$7,552.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $2,330.67 / $3,160.81	Facility		$1,681.00	$2,330.67	$3,160.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,610.00 / $2,263.46 / $2,757.47	Professional		$1,610.00	$2,263.46	$2,757.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.69 / $1,723.77 / $2,011.86	Professional		$1,258.69	$1,723.77	$2,011.86
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 $1,081.69 / $1,966.70 / $2,848.94	Professional		$1,081.69	$1,966.70	$2,848.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,995.80 / $2,348.10 / $2,442.00	Professional		$1,995.80	$2,348.10	$2,442.00