Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.89 / $817.89 / $4,338.00	Facility		$817.89	$817.89	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.75 / $817.89 / $2,505.02	Professional		$761.75	$817.89	$2,505.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,986.17 / $2,000.73 / $2,500.91	Professional		$1,986.17	$2,000.73	$2,500.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,089.30 / $1,382.23 / $2,333.78	Facility		$1,089.30	$1,382.23	$2,333.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,055.88 / $1,759.80 / $6,731.68	Professional		$1,055.88	$1,759.80	$6,731.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,376.13 / $2,234.46 / $2,822.95	Facility		$1,376.13	$2,234.46	$2,822.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,986.17 / $2,445.21	Professional		$1,500.00	$1,986.17	$2,445.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,099.76 / $1,500.68 / $1,765.39	Professional		$1,099.76	$1,500.68	$1,765.39
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 $1,055.88 / $1,759.80 / $2,499.53	Professional		$1,055.88	$1,759.80	$2,499.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,720.50 / $2,024.10 / $2,105.10	Professional		$1,720.50	$2,024.10	$2,105.10