Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.81 / $832.81 / $3,511.00	Facility		$832.81	$832.81	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.28 / $832.81 / $2,320.51	Professional		$696.28	$832.81	$2,320.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,816.58 / $1,896.33 / $2,370.41	Professional		$1,816.58	$1,896.33	$2,370.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $915.32 / $1,407.45 / $2,310.73	Facility		$915.32	$1,407.45	$2,310.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $986.18 / $1,643.64 / $6,223.36	Professional		$986.18	$1,643.64	$6,223.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,362.00 / $2,091.67 / $2,612.31	Facility		$1,362.00	$2,091.67	$2,612.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,236.00 / $1,816.58 / $2,266.27	Professional		$1,236.00	$1,816.58	$2,266.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,020.62 / $1,388.42 / $1,614.66	Professional		$1,020.62	$1,388.42	$1,614.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $986.18 / $1,643.64 / $2,296.44	Professional		$986.18	$1,643.64	$2,296.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,573.60 / $1,851.30 / $1,925.30	Professional		$1,573.60	$1,851.30	$1,925.30