Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.59 / $929.59 / $3,073.00	Facility		$929.59	$929.59	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $789.46 / $929.59 / $2,298.88	Professional		$789.46	$929.59	$2,298.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,651.86 / $2,150.32 / $2,687.90	Professional		$1,651.86	$2,150.32	$2,687.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,142.16 / $1,571.01 / $2,547.25	Facility		$1,142.16	$1,571.01	$2,547.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $890.38 / $1,977.70 / $7,086.24	Professional		$890.38	$1,977.70	$7,086.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,457.68 / $2,349.83 / $7,260.61	Facility		$1,457.68	$2,349.83	$7,260.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,454.00 / $1,906.60 / $2,582.78	Professional		$1,454.00	$1,906.60	$2,582.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,187.48 / $1,618.18 / $1,895.42	Professional		$1,187.48	$1,618.18	$1,895.42
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 $854.29 / $1,883.52 / $2,631.66	Professional		$854.29	$1,883.52	$2,631.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,880.30 / $2,300.60 / $2,300.60	Professional		$1,880.30	$2,300.60	$2,300.60