Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.77 / $847.77 / $3,511.00	Facility		$847.77	$847.77	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.24 / $847.77 / $2,723.23	Professional		$787.24	$847.77	$2,723.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,062.58 / $2,112.92 / $2,641.15	Professional		$2,062.58	$2,112.92	$2,641.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,125.75 / $1,432.73 / $2,624.91	Facility		$1,125.75	$1,432.73	$2,624.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,130.33 / $1,883.90 / $7,026.40	Professional		$1,130.33	$1,883.90	$7,026.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $2,470.94 / $8,364.48	Facility		$1,712.00	$2,470.94	$8,364.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,727.00 / $2,062.58 / $2,498.06	Professional		$1,727.00	$2,062.58	$2,498.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,185.40 / $1,578.14 / $1,833.31	Professional		$1,185.40	$1,578.14	$1,833.31
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 $1,218.58 / $1,978.10 / $2,637.18	Professional		$1,218.58	$1,978.10	$2,637.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,786.70 / $2,102.00 / $2,186.10	Professional		$1,786.70	$2,102.00	$2,186.10