Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.45 / $751.45 / $4,338.00	Facility		$751.45	$751.45	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.33 / $751.45 / $2,294.89	Professional		$702.33	$751.45	$2,294.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,834.79 / $1,850.36 / $2,312.94	Professional		$1,834.79	$1,850.36	$2,312.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,004.33 / $1,269.95 / $2,155.86	Facility		$1,004.33	$1,269.95	$2,155.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $955.97 / $1,594.37 / $6,195.76	Professional		$955.97	$1,594.37	$6,195.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,247.06 / $2,057.02 / $2,584.14	Facility		$1,247.06	$2,057.02	$2,584.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,317.00 / $1,834.79 / $2,235.04	Professional		$1,317.00	$1,834.79	$2,235.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,000.01 / $1,386.30 / $1,630.83	Professional		$1,000.01	$1,386.30	$1,630.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.61 / $2,188.03 / $2,286.00	Professional		$1,047.61	$2,188.03	$2,286.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,589.40 / $1,869.80 / $1,944.60	Professional		$1,589.40	$1,869.80	$1,944.60