Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.15 / $944.15 / $4,338.00	Facility		$944.15	$944.15	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $840.60 / $944.15 / $987.57	Professional		$840.60	$944.15	$987.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,645.96 / $2,264.06 / $2,830.08	Professional		$1,645.96	$2,264.06	$2,830.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $929.48 / $1,595.61 / $2,473.28	Facility		$929.48	$1,595.61	$2,473.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,049.66 / $1,764.72 / $7,375.48	Professional		$1,049.66	$1,764.72	$7,375.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,338.23 / $2,396.87 / $6,855.77	Facility		$1,338.23	$2,396.87	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,242.00 / $2,091.63 / $2,654.20	Professional		$1,242.00	$2,091.63	$2,654.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,086.13 / $1,479.51 / $1,931.64	Professional		$1,086.13	$1,479.51	$1,931.64
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 $1,049.66 / $1,764.72 / $2,745.12	Professional		$1,049.66	$1,764.72	$2,745.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,916.30 / $2,344.60 / $2,344.60	Professional		$1,916.30	$2,344.60	$2,344.60