Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.75 / $723.75 / $2,290.00	Facility		$723.75	$723.75	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.34 / $723.75 / $1,169.63	Professional		$608.34	$723.75	$1,169.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.07 / $1,625.98 / $2,032.48	Professional		$1,249.07	$1,625.98	$2,032.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $873.88 / $1,066.42 / $1,313.55	Facility		$873.88	$1,066.42	$1,313.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $761.90 / $1,385.28 / $5,464.40	Professional		$761.90	$1,385.28	$5,464.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,349.01 / $1,641.92 / $2,324.46	Facility		$1,349.01	$1,641.92	$2,324.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,486.90 / $1,633.57 / $2,028.15	Professional		$1,486.90	$1,633.57	$2,028.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $888.29 / $1,280.05 / $1,459.41	Professional		$888.29	$1,280.05	$1,459.41
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $761.90 / $1,256.81 / $1,955.04	Professional		$761.90	$1,256.81	$1,955.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,447.80 / $1,771.40 / $1,771.40	Professional		$1,447.80	$1,771.40	$1,771.40