Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.22 / $778.22 / $4,338.00	Facility		$778.22	$778.22	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.09 / $845.25 / $929.77	Professional		$724.09	$845.25	$929.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,885.73 / $1,901.78 / $2,377.23	Professional		$1,885.73	$1,901.78	$2,377.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,035.45 / $1,315.19 / $2,244.03	Facility		$1,035.45	$1,315.19	$2,244.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,001.69 / $1,669.48 / $6,407.94	Professional		$1,001.69	$1,669.48	$6,407.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,304.51 / $2,122.96 / $2,681.14	Facility		$1,304.51	$2,122.96	$2,681.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,399.00 / $1,885.73 / $2,327.52	Professional		$1,399.00	$1,885.73	$2,327.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,043.98 / $1,424.79 / $1,676.12	Professional		$1,043.98	$1,424.79	$1,676.12
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 $918.21 / $1,526.02 / $2,373.81	Professional		$918.21	$1,526.02	$2,373.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,633.50 / $1,921.70 / $1,998.60	Professional		$1,633.50	$1,921.70	$1,998.60