Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.33 / $942.33 / $3,511.00	Facility		$942.33	$942.33	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.23 / $942.33 / $2,393.25	Professional		$801.23	$942.33	$2,393.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,685.82 / $2,163.56 / $2,704.45	Professional		$1,685.82	$2,163.56	$2,704.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,272.76 / $1,615.68 / $2,832.07	Facility		$1,272.76	$1,615.68	$2,832.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,032.55 / $2,202.14 / $7,371.96	Professional		$1,032.55	$2,202.14	$7,371.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,626.48 / $2,422.50 / $7,260.61	Facility		$1,626.48	$2,422.50	$7,260.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,626.48 / $2,166.89 / $2,702.23	Professional		$1,626.48	$2,166.89	$2,702.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,246.94 / $1,726.03 / $1,967.87	Professional		$1,246.94	$1,726.03	$1,967.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,130.80 / $2,097.28 / $2,701.08	Professional		$1,130.80	$2,097.28	$2,701.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,952.20 / $2,388.60 / $2,388.60	Professional		$1,952.20	$2,388.60	$2,388.60