Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.08 / $993.08 / $3,073.00	Facility		$993.08	$993.08	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.48 / $993.08 / $2,942.54	Professional		$841.48	$993.08	$2,942.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,082.94 / $2,292.11 / $2,865.14	Professional		$2,082.94	$2,292.11	$2,865.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,203.32 / $1,588.40 / $2,667.32	Facility		$1,203.32	$1,588.40	$2,667.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,099.05 / $2,098.19 / $7,526.48	Professional		$1,099.05	$2,098.19	$7,526.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,544.82 / $2,319.90 / $3,166.03	Facility		$1,544.82	$2,319.90	$3,166.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,544.82 / $2,260.53 / $2,753.87	Professional		$1,544.82	$2,260.53	$2,753.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,260.77 / $1,707.99 / $2,009.27	Professional		$1,260.77	$1,707.99	$2,009.27
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 $1,099.05 / $1,998.28 / $2,857.54	Professional		$1,099.05	$1,998.28	$2,857.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,993.30 / $2,345.00 / $2,438.80	Professional		$1,993.30	$2,345.00	$2,438.80