Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.27 / $925.27 / $3,073.00	Facility		$925.27	$925.27	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $838.73 / $925.27 / $1,003.13	Professional		$838.73	$925.27	$1,003.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,611.97 / $2,217.32 / $2,771.65	Professional		$1,611.97	$2,217.32	$2,771.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,003.02 / $1,563.71 / $2,714.00	Facility		$1,003.02	$1,563.71	$2,714.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,107.67 / $1,952.38 / $7,438.40	Professional		$1,107.67	$1,952.38	$7,438.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,519.59 / $2,446.44 / $3,285.23	Facility		$1,519.59	$2,446.44	$3,285.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,429.00 / $2,263.46 / $2,757.47	Professional		$1,429.00	$2,263.46	$2,757.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,183.78 / $1,717.97 / $2,011.86	Professional		$1,183.78	$1,717.97	$2,011.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,073.81 / $1,775.45 / $2,761.81	Professional		$1,073.81	$1,775.45	$2,761.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,995.80 / $2,442.00 / $2,442.00	Professional		$1,995.80	$2,442.00	$2,442.00