Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,247.05 / $1,247.05 / $4,338.00	Facility		$1,247.05	$1,247.05	$4,338.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $935.29 / $935.29 / $935.29	Facility	54	$935.29	$935.29	$935.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.21 / $1,024.42 / $1,388.21	Professional		$992.21	$1,024.42	$1,388.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,446.85 / $2,692.57 / $3,365.71	Professional		$2,446.85	$2,692.57	$3,365.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $886.21 / $1,471.58 / $3,324.67	Facility		$886.21	$1,471.58	$3,324.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,093.43 / $2,120.98 / $3,371.97	Professional		$1,093.43	$2,120.98	$3,371.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,205.23 / $2,740.48 / $3,551.90	Facility		$2,205.23	$2,740.48	$3,551.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,823.93 / $2,751.86 / $3,110.57	Professional		$1,823.93	$2,751.86	$3,110.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,360.49 / $1,944.83 / $2,267.38	Professional		$1,360.49	$1,944.83	$2,267.38
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $433.04 / $433.04 / $433.04	Professional	80	$433.04	$433.04	$433.04
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 $1,344.94 / $2,330.80 / $3,299.32	Professional		$1,344.94	$2,330.80	$3,299.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,209.69 / $2,703.60 / $2,703.60	Professional		$2,209.69	$2,703.60	$2,703.60