Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.88 / $975.88 / $4,338.00	Facility		$975.88	$975.88	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.61 / $975.88 / $2,848.26	Professional		$818.61	$975.88	$2,848.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,161.55 / $2,231.34 / $2,789.18	Professional		$2,161.55	$2,231.34	$2,789.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,170.60 / $1,649.24 / $2,740.40	Facility		$1,170.60	$1,649.24	$2,740.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,208.70 / $2,014.50 / $8,240.67	Professional		$1,208.70	$2,014.50	$8,240.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,702.00 / $2,649.52 / $5,269.25	Facility		$1,702.00	$2,649.52	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.00 / $2,161.55 / $2,681.81	Professional		$1,659.00	$2,161.55	$2,681.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,241.18 / $1,685.18 / $1,921.29	Professional		$1,241.18	$1,685.18	$1,921.29
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 $1,208.70 / $2,014.50 / $2,755.56	Professional		$1,208.70	$2,014.50	$2,755.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,872.40 / $2,202.80 / $2,291.00	Professional		$1,872.40	$2,202.80	$2,291.00