Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.01 / $875.01 / $3,511.00	Facility		$875.01	$875.01	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.98 / $875.01 / $2,654.90	Professional		$788.98	$875.01	$2,654.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,021.83 / $2,072.41 / $2,590.51	Professional		$2,021.83	$2,072.41	$2,590.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,128.24 / $1,478.77 / $2,478.35	Facility		$1,128.24	$1,478.77	$2,478.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,103.30 / $1,838.84 / $7,127.82	Professional		$1,103.30	$1,838.84	$7,127.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,440.10 / $2,287.13 / $2,819.81	Facility		$1,440.10	$2,287.13	$2,819.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,619.00 / $2,021.83 / $2,448.82	Professional		$1,619.00	$2,021.83	$2,448.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,141.30 / $1,543.33 / $1,797.09	Professional		$1,141.30	$1,543.33	$1,797.09
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 $1,103.30 / $1,651.09 / $2,568.36	Professional		$1,103.30	$1,651.09	$2,568.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,782.80 / $2,097.40 / $2,181.30	Professional		$1,782.80	$2,097.40	$2,181.30