Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.96 / $852.96 / $4,338.00	Facility		$852.96	$852.96	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.86 / $852.96 / $2,599.66	Professional		$768.86	$852.96	$2,599.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,970.15 / $2,017.87 / $2,522.34	Professional		$1,970.15	$2,017.87	$2,522.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,099.47 / $1,441.50 / $2,420.48	Facility		$1,099.47	$1,441.50	$2,420.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,076.88 / $1,794.80 / $6,713.28	Professional		$1,076.88	$1,794.80	$6,713.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,406.48 / $2,230.39 / $2,749.96	Facility		$1,406.48	$2,230.39	$2,749.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,521.00 / $1,970.15 / $2,387.57	Professional		$1,521.00	$1,970.15	$2,387.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,128.74 / $1,506.20 / $1,751.16	Professional		$1,128.74	$1,506.20	$1,751.16
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 $1,076.88 / $1,782.40 / $2,516.71	Professional		$1,076.88	$1,782.40	$2,516.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.20 / $2,043.80 / $2,125.50	Professional		$1,737.20	$2,043.80	$2,125.50