Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.63 / $840.63 / $3,511.00	Facility		$840.63	$840.63	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.57 / $840.63 / $2,699.39	Professional		$780.57	$840.63	$2,699.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,045.12 / $2,095.78 / $2,619.71	Professional		$2,045.12	$2,095.78	$2,619.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,116.22 / $1,420.66 / $2,602.62	Facility		$1,116.22	$1,420.66	$2,602.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.93 / $1,914.88 / $9,714.00	Professional		$1,148.93	$1,914.88	$9,714.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $2,451.17 / $3,079.87	Facility		$1,636.00	$2,451.17	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,699.00 / $2,045.12 / $2,476.44	Professional		$1,699.00	$2,045.12	$2,476.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,175.02 / $1,564.80 / $1,817.79	Professional		$1,175.02	$1,564.80	$1,817.79
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 $1,255.94 / $2,010.62 / $2,614.21	Professional		$1,255.94	$2,010.62	$2,614.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,771.60 / $2,084.19 / $2,167.50	Professional		$1,771.60	$2,084.19	$2,167.50