Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.11 / $748.11 / $3,511.00	Facility		$748.11	$748.11	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.11 / $809.12 / $1,044.25	Professional		$748.11	$809.12	$1,044.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,694.24 / $1,864.39 / $2,330.48	Professional		$1,694.24	$1,864.39	$2,330.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.93 / $1,264.31 / $2,381.78	Facility		$1,000.93	$1,264.31	$2,381.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,038.40 / $1,730.66 / $6,442.48	Professional		$1,038.40	$1,730.66	$6,442.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,304.63 / $2,006.39 / $2,031.82	Facility		$1,304.63	$2,006.39	$2,031.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,379.00 / $1,584.11 / $2,006.39	Professional		$1,379.00	$1,584.11	$2,006.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,139.11 / $1,542.76 / $1,758.92	Professional		$1,139.11	$1,542.76	$1,758.92
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 $1,038.40 / $1,727.32 / $1,902.08	Professional		$1,038.40	$1,727.32	$1,902.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,132.50 / $1,332.30 / $1,385.60	Professional		$1,132.50	$1,332.30	$1,385.60