Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.94 / $719.94 / $3,511.00	Facility		$719.94	$719.94	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.38 / $719.94 / $2,296.80	Professional		$668.38	$719.94	$2,296.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,750.34 / $1,795.83 / $2,244.78	Professional		$1,750.34	$1,795.83	$2,244.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $955.78 / $1,216.70 / $2,225.07	Facility		$955.78	$1,216.70	$2,225.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $953.50 / $1,589.16 / $8,255.64	Professional		$953.50	$1,589.16	$8,255.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,362.00 / $1,874.65 / $2,439.19	Facility		$1,362.00	$1,874.65	$2,439.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,468.00 / $1,750.34 / $2,117.34	Professional		$1,468.00	$1,750.34	$2,117.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,000.30 / $1,330.40 / $1,555.79	Professional		$1,000.30	$1,330.40	$1,555.79
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 $953.50 / $1,589.16 / $2,229.16	Professional		$953.50	$1,589.16	$2,229.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,516.20 / $1,783.80 / $1,855.10	Professional		$1,516.20	$1,783.80	$1,855.10