Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.02 / $892.02 / $3,511.00	Facility		$892.02	$892.02	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.12 / $892.02 / $2,869.16	Professional		$828.12	$892.02	$2,869.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,168.84 / $2,221.98 / $2,777.49	Professional		$2,168.84	$2,221.98	$2,777.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,184.21 / $1,507.51 / $2,763.35	Facility		$1,184.21	$1,507.51	$2,763.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,234.19 / $2,056.98 / $8,596.00	Professional		$1,234.19	$2,056.98	$8,596.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,603.77 / $8,364.48	Facility		$1,765.00	$2,603.77	$8,364.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,822.00 / $2,168.84 / $2,630.18	Professional		$1,822.00	$2,168.84	$2,630.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,248.54 / $1,662.27 / $1,927.76	Professional		$1,248.54	$1,662.27	$1,927.76
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 $1,234.19 / $2,056.98 / $2,775.67	Professional		$1,234.19	$2,056.98	$2,775.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,878.70 / $2,210.30 / $2,298.69	Professional		$1,878.70	$2,210.30	$2,298.69