Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.62 / $760.62 / $4,338.00	Facility		$760.62	$760.62	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.30 / $760.62 / $994.39	Professional		$708.30	$760.62	$994.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,844.96 / $1,860.49 / $2,325.61	Professional		$1,844.96	$1,860.49	$2,325.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,012.87 / $1,214.92 / $2,185.69	Facility		$1,012.87	$1,214.92	$2,185.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $922.34 / $1,613.96 / $8,470.17	Professional		$922.34	$1,613.96	$8,470.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,608.00 / $2,233.48 / $8,568.00	Facility		$1,608.00	$2,233.48	$8,568.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,551.80 / $1,902.18 / $2,273.48	Professional		$1,551.80	$1,902.18	$2,273.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,016.30 / $1,394.00 / $1,639.89	Professional		$1,016.30	$1,394.00	$1,639.89
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $20,822.43	Facility		$5,357.00	$5,357.00	$20,822.43
United Facility/Professional Professional Modifier Low / Median / High Price $968.38 / $1,489.27 / $2,316.64	Professional		$968.38	$1,489.27	$2,316.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,598.20 / $1,880.20 / $1,955.40	Professional		$1,598.20	$1,880.20	$1,955.40