Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.45 / $909.45 / $4,338.00	Facility		$909.45	$909.45	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.60 / $909.45 / $2,642.62	Professional		$762.60	$909.45	$2,642.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,010.17 / $2,078.64 / $2,598.30	Professional		$2,010.17	$2,078.64	$2,598.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,090.52 / $1,536.97 / $2,549.62	Facility		$1,090.52	$1,536.97	$2,549.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,117.79 / $1,862.98 / $10,284.73	Professional		$1,117.79	$1,862.98	$10,284.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,566.00 / $2,468.23 / $5,269.25	Facility		$1,566.00	$2,468.23	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,535.00 / $2,010.17 / $2,495.66	Professional		$1,535.00	$2,010.17	$2,495.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,151.23 / $1,567.16 / $1,786.74	Professional		$1,151.23	$1,567.16	$1,786.74
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 $1,117.79 / $1,836.23 / $2,563.96	Professional		$1,117.79	$1,836.23	$2,563.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,741.30 / $2,048.60 / $2,130.50	Professional		$1,741.30	$2,048.60	$2,130.50