Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.83 / $832.83 / $2,290.00	Facility		$832.83	$832.83	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.13 / $821.35 / $832.83	Professional		$697.13	$821.35	$832.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,829.68 / $1,899.45 / $2,374.31	Professional		$1,829.68	$1,899.45	$2,374.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $818.31 / $1,407.48 / $2,322.96	Facility		$818.31	$1,407.48	$2,322.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,021.55 / $1,702.58 / $6,254.56	Professional		$1,021.55	$1,702.58	$6,254.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,419.00 / $2,091.67 / $2,619.60	Facility		$1,419.00	$2,091.67	$2,619.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,320.00 / $1,829.68 / $2,277.07	Professional		$1,320.00	$1,829.68	$2,277.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,050.47 / $1,426.44 / $1,626.31	Professional		$1,050.47	$1,426.44	$1,626.31
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 $1,021.55 / $1,501.25 / $2,335.28	Professional		$1,021.55	$1,501.25	$2,335.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,584.90 / $1,864.60 / $1,939.20	Professional		$1,584.90	$1,864.60	$1,939.20