Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.81 / $884.81 / $4,338.00	Facility		$884.81	$884.81	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.45 / $884.81 / $2,697.78	Professional		$797.45	$884.81	$2,697.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,045.12 / $2,092.66 / $2,615.83	Professional		$2,045.12	$2,092.66	$2,615.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,140.34 / $1,495.33 / $2,514.46	Facility		$1,140.34	$1,495.33	$2,514.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,120.94 / $1,868.24 / $6,966.16	Professional		$1,120.94	$1,868.24	$6,966.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,464.22 / $2,314.48 / $2,855.28	Facility		$1,464.22	$2,314.48	$2,855.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,601.00 / $2,045.12 / $2,477.64	Professional		$1,601.00	$2,045.12	$2,477.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,174.58 / $1,564.22 / $1,817.79	Professional		$1,174.58	$1,564.22	$1,817.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,120.94 / $1,858.10 / $2,612.67	Professional		$1,120.94	$1,858.10	$2,612.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,803.30 / $2,121.60 / $2,206.40	Professional		$1,803.30	$2,121.60	$2,206.40