Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.86 / $842.86 / $4,338.00	Facility		$842.86	$842.86	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.76 / $842.86 / $2,566.89	Professional		$759.76	$842.86	$2,566.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,946.86 / $1,993.72 / $2,492.15	Professional		$1,946.86	$1,993.72	$2,492.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,086.46 / $1,424.43 / $2,389.88	Facility		$1,086.46	$1,424.43	$2,389.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,069.55 / $1,782.58 / $6,633.76	Professional		$1,069.55	$1,782.58	$6,633.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,396.26 / $2,203.91 / $2,718.66	Facility		$1,396.26	$2,203.91	$2,718.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,503.00 / $1,946.86 / $2,358.75	Professional		$1,503.00	$1,946.86	$2,358.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,117.07 / $1,487.05 / $1,730.46	Professional		$1,117.07	$1,487.05	$1,730.46
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 $1,069.55 / $1,597.68 / $2,485.28	Professional		$1,069.55	$1,597.68	$2,485.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,716.70 / $2,019.60 / $2,100.40	Professional		$1,716.70	$2,019.60	$2,100.40