Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.26 / $718.26 / $3,073.00	Facility		$718.26	$718.26	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.96 / $718.26 / $2,301.00	Professional		$666.96	$718.26	$2,301.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,747.44 / $1,791.15 / $2,238.94	Professional		$1,747.44	$1,791.15	$2,238.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $953.75 / $1,213.85 / $2,223.52	Facility		$953.75	$1,213.85	$2,223.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $961.67 / $1,602.78 / $5,951.76	Professional		$961.67	$1,602.78	$5,951.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,378.00 / $2,091.28 / $4,555.17	Facility		$1,378.00	$2,091.28	$4,555.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,443.00 / $1,747.44 / $2,116.14	Professional		$1,443.00	$1,747.44	$2,116.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $999.43 / $1,333.30 / $1,553.21	Professional		$999.43	$1,333.30	$1,553.21
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $961.67 / $1,587.82 / $2,229.92	Professional		$961.67	$1,587.82	$2,229.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.70 / $1,780.80 / $1,852.10	Professional		$1,513.70	$1,780.80	$1,852.10