Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.87 / $790.87 / $3,511.00	Facility		$790.87	$790.87	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $671.89 / $790.87 / $1,952.10	Professional		$671.89	$790.87	$1,952.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,405.88 / $1,830.11 / $2,287.63	Professional		$1,405.88	$1,830.11	$2,287.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,040.15 / $1,336.57 / $2,153.50	Facility		$1,040.15	$1,336.57	$2,153.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $766.36 / $1,695.12 / $6,025.28	Professional		$766.36	$1,695.12	$6,025.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,248.49 / $1,997.94 / $7,260.61	Facility		$1,248.49	$1,997.94	$7,260.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,248.49 / $1,697.78 / $2,193.00	Professional		$1,248.49	$1,697.78	$2,193.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,008.28 / $1,368.70 / $1,610.13	Professional		$1,008.28	$1,368.70	$1,610.13
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 $723.65 / $1,614.40 / $2,234.34	Professional		$723.65	$1,614.40	$2,234.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,597.30 / $1,954.40 / $1,954.40	Professional		$1,597.30	$1,954.40	$1,954.40