Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $820.16 / $820.16 / $4,338.00	Facility		$820.16	$820.16	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.82 / $820.16 / $2,511.90	Professional		$763.82	$820.16	$2,511.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,991.97 / $2,006.96 / $2,508.69	Professional		$1,991.97	$2,006.96	$2,508.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,092.26 / $1,386.07 / $2,403.48	Facility		$1,092.26	$1,386.07	$2,403.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,103.23 / $1,838.72 / $7,322.65	Professional		$1,103.23	$1,838.72	$7,322.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,433.21 / $2,240.15 / $2,830.25	Facility		$1,433.21	$2,240.15	$2,830.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,481.00 / $1,991.97 / $2,451.21	Professional		$1,481.00	$1,991.97	$2,451.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,102.80 / $1,505.08 / $1,770.57	Professional		$1,102.80	$1,505.08	$1,770.57
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 $1,103.23 / $1,825.48 / $2,506.59	Professional		$1,103.23	$1,825.48	$2,506.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,725.50 / $2,030.00 / $2,111.19	Professional		$1,725.50	$2,030.00	$2,111.19