Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.11 / $903.11 / $4,338.00	Facility		$903.11	$903.11	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.35 / $903.11 / $981.06	Professional		$811.35	$903.11	$981.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,570.63 / $2,160.44 / $2,700.56	Professional		$1,570.63	$2,160.44	$2,700.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $940.81 / $1,622.70 / $2,514.17	Facility		$940.81	$1,622.70	$2,514.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,082.08 / $1,803.46 / $9,072.81	Professional		$1,082.08	$1,803.46	$9,072.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,397.88 / $2,353.92 / $3,276.96	Facility		$1,397.88	$2,353.92	$3,276.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,397.88 / $2,120.81 / $2,594.14	Professional		$1,397.88	$2,120.81	$2,594.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,103.96 / $1,505.95 / $1,885.07	Professional		$1,103.96	$1,505.95	$1,885.07
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 $1,082.08 / $1,803.46 / $2,718.60	Professional		$1,082.08	$1,803.46	$2,718.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,870.10 / $2,288.10 / $2,288.10	Professional		$1,870.10	$2,288.10	$2,288.10