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 $656.25 / $656.25 / $1,377.86	Professional		$656.25	$656.25	$1,377.86
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 / $1,377.86 / $3,143.00	Facility		$656.25	$1,377.86	$3,143.00
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 $1,077.11 / $1,186.17 / $1,209.40	Professional		$1,077.11	$1,186.17	$1,209.40
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 $3,800.00 / $3,800.00 / $3,800.00	Professional		$3,800.00	$3,800.00	$3,800.00