Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.24 / $906.24 / $3,511.00	Facility		$906.24	$906.24	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.35 / $906.24 / $2,915.74	Professional		$841.35	$906.24	$2,915.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,205.23 / $2,258.61 / $2,823.26	Professional		$2,205.23	$2,258.61	$2,823.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,203.13 / $1,531.55 / $2,806.85	Facility		$1,203.13	$1,531.55	$2,806.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,208.95 / $2,014.92 / $7,823.00	Professional		$1,208.95	$2,014.92	$7,823.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,737.00 / $2,645.05 / $4,555.17	Facility		$1,737.00	$2,645.05	$4,555.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $2,205.23 / $2,669.80	Professional		$1,870.00	$2,205.23	$2,669.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,268.86 / $1,704.05 / $1,960.11	Professional		$1,268.86	$1,704.05	$1,960.11
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 $1,208.95 / $1,995.02 / $2,819.88	Professional		$1,208.95	$1,995.02	$2,819.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,910.20 / $2,247.40 / $2,337.19	Professional		$1,910.20	$2,247.40	$2,337.19