Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.84 / $795.84 / $3,511.00	Facility		$795.84	$795.84	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.00 / $795.84 / $2,418.08	Professional		$717.00	$795.84	$2,418.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,835.51 / $1,882.31 / $2,352.88	Professional		$1,835.51	$1,882.31	$2,352.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,025.31 / $1,344.97 / $2,248.76	Facility		$1,025.31	$1,344.97	$2,248.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,002.74 / $1,671.24 / $7,796.51	Professional		$1,002.74	$1,671.24	$7,796.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $2,202.58 / $4,555.17	Facility		$1,425.00	$2,202.58	$4,555.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,471.00 / $1,835.51 / $2,225.44	Professional		$1,471.00	$1,835.51	$2,225.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,052.63 / $1,399.44 / $1,631.48	Professional		$1,052.63	$1,399.44	$1,631.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,002.74 / $1,669.04 / $2,345.06	Professional		$1,002.74	$1,669.04	$2,345.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,618.50 / $1,904.10 / $1,980.30	Professional		$1,618.50	$1,904.10	$1,980.30