Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.17 / $837.17 / $3,511.00	Facility		$837.17	$837.17	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.48 / $837.17 / $2,666.57	Professional		$777.48	$837.17	$2,666.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,034.18 / $2,087.98 / $2,609.98	Professional		$2,034.18	$2,087.98	$2,609.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,111.80 / $1,414.82 / $2,747.14	Facility		$1,111.80	$1,414.82	$2,747.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,156.16 / $1,926.94 / $8,596.00	Professional		$1,156.16	$1,926.94	$8,596.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,504.20 / $2,178.35 / $2,840.66	Facility		$1,504.20	$2,178.35	$2,840.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,728.11 / $2,034.18 / $2,464.44	Professional		$1,728.11	$2,034.18	$2,464.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,190.90 / $1,585.88 / $1,808.09	Professional		$1,190.90	$1,585.88	$1,808.09
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 $1,202.58 / $1,995.47 / $2,591.51	Professional		$1,202.58	$1,995.47	$2,591.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,762.10 / $2,073.10 / $2,156.00	Professional		$1,762.10	$2,073.10	$2,156.00