Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.10 / $914.10 / $4,338.00	Facility		$914.10	$914.10	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.53 / $914.10 / $2,563.87	Professional		$764.53	$914.10	$2,563.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,002.16 / $2,083.31 / $2,604.14	Professional		$2,002.16	$2,083.31	$2,604.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,036.94 / $1,544.83 / $2,544.40	Facility		$1,036.94	$1,544.83	$2,544.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,087.25 / $1,812.08 / $7,141.02	Professional		$1,087.25	$1,812.08	$7,141.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,502.00 / $2,439.64 / $5,269.25	Facility		$1,502.00	$2,439.64	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,393.00 / $2,002.16 / $2,494.46	Professional		$1,393.00	$2,002.16	$2,494.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,127.02 / $1,532.31 / $1,779.62	Professional		$1,127.02	$1,532.31	$1,779.62
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 $1,087.25 / $1,627.47 / $2,531.62	Professional		$1,087.25	$1,627.47	$2,531.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,734.40 / $2,040.40 / $2,122.00	Professional		$1,734.40	$2,040.40	$2,122.00