Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.90 / $873.90 / $4,338.00	Facility		$873.90	$873.90	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.07 / $873.90 / $886.31	Professional		$780.07	$873.90	$886.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.42 / $2,081.76 / $2,602.19	Professional		$1,513.42	$2,081.76	$2,602.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $890.35 / $1,476.89 / $2,518.57	Facility		$890.35	$1,476.89	$2,518.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,081.01 / $1,688.51 / $9,218.11	Professional		$1,081.01	$1,688.51	$9,218.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,379.33 / $2,232.87 / $6,855.77	Facility		$1,379.33	$2,232.87	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,321.00 / $1,992.71 / $2,417.02	Professional		$1,321.00	$1,992.71	$2,417.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,058.51 / $1,505.04 / $1,771.21	Professional		$1,058.51	$1,505.04	$1,771.21
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 $1,081.01 / $1,661.18 / $2,535.17	Professional		$1,081.01	$1,661.18	$2,535.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,757.10 / $2,149.90 / $2,149.90	Professional		$1,757.10	$2,149.90	$2,149.90