Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $656.25 / $3,511.00	Facility		$656.25	$656.25	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $49.00 / $656.25	Professional		$49.00	$49.00	$656.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.24 / $1,280.06 / $1,600.08	Professional		$1,207.24	$1,280.06	$1,600.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $1,032.83 / $2,611.88	Facility		$656.25	$1,032.83	$2,611.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,936.00 / $3,425.33 / $4,717.17	Facility		$2,936.00	$3,425.33	$4,717.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,078.89 / $1,188.08 / $1,400.36	Professional		$1,078.89	$1,188.08	$1,400.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $909.07 / $909.07 / $1,181.79	Professional		$909.07	$909.07	$1,181.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,350.00 / $3,350.00 / $3,350.00	Professional		$3,350.00	$3,350.00	$3,350.00