Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.60 / $768.60 / $4,338.00	Facility		$768.60	$768.60	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.79 / $768.60 / $2,194.82	Professional		$690.79	$768.60	$2,194.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,757.63 / $1,809.07 / $2,261.34	Professional		$1,757.63	$1,809.07	$2,261.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $987.83 / $1,298.93 / $2,068.78	Facility		$987.83	$1,298.93	$2,068.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $927.36 / $1,545.60 / $6,059.00	Professional		$927.36	$1,545.60	$6,059.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,208.47 / $1,994.32 / $2,475.67	Facility		$1,208.47	$1,994.32	$2,475.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,399.00 / $1,757.63 / $2,141.36	Professional		$1,399.00	$1,757.63	$2,141.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $971.76 / $1,328.01 / $1,562.26	Professional		$971.76	$1,328.01	$1,562.26
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 $927.36 / $1,545.60 / $2,204.69	Professional		$927.36	$1,545.60	$2,204.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,549.80 / $1,823.30 / $1,896.30	Professional		$1,549.80	$1,823.30	$1,896.30