Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.45 / $914.45 / $4,338.00	Facility		$914.45	$914.45	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.76 / $1,043.92 / $1,148.31	Professional		$823.76	$1,043.92	$1,148.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,112.08 / $2,160.44 / $2,700.56	Professional		$2,112.08	$2,160.44	$2,700.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,177.98 / $1,545.42 / $2,607.76	Facility		$1,177.98	$1,545.42	$2,607.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,161.83 / $1,936.38 / $15,405.68	Professional		$1,161.83	$1,936.38	$15,405.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,518.52 / $2,392.96 / $2,957.46	Facility		$1,518.52	$2,392.96	$2,957.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,580.00 / $2,112.08 / $2,562.91	Professional		$1,580.00	$2,112.08	$2,562.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,215.24 / $1,621.66 / $1,877.30	Professional		$1,215.24	$1,621.66	$1,877.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $861.08 / $1,823.47 / $2,705.58	Professional		$861.08	$1,823.47	$2,705.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,862.40 / $2,191.00 / $2,278.69	Professional		$1,862.40	$2,191.00	$2,278.69