Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.92 / $785.92 / $2,290.00	Facility		$785.92	$785.92	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.91 / $785.92 / $982.11	Professional		$728.91	$785.92	$982.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,909.73 / $1,956.32 / $2,445.40	Professional		$1,909.73	$1,956.32	$2,445.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $940.00 / $1,328.20 / $2,434.07	Facility		$940.00	$1,328.20	$2,434.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,045.90 / $1,743.16 / $6,506.48	Professional		$1,045.90	$1,743.16	$6,506.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,513.00 / $2,290.53 / $4,555.17	Facility		$1,513.00	$2,290.53	$4,555.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,434.00 / $1,909.73 / $2,316.71	Professional		$1,434.00	$1,909.73	$2,316.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,095.44 / $1,456.88 / $1,697.47	Professional		$1,095.44	$1,456.88	$1,697.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.90 / $1,735.62 / $2,438.96	Professional		$1,045.90	$1,735.62	$2,438.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,654.30 / $1,946.20 / $2,024.10	Professional		$1,654.30	$1,946.20	$2,024.10