Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.40 / $723.40 / $2,290.00	Facility		$723.40	$723.40	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.76 / $723.40 / $1,169.06	Professional		$607.76	$723.40	$1,169.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,248.47 / $1,625.20 / $2,031.50	Professional		$1,248.47	$1,625.20	$2,031.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $873.05 / $1,065.85 / $1,313.03	Facility		$873.05	$1,065.85	$1,313.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $761.51 / $1,384.56 / $5,459.28	Professional		$761.51	$1,384.56	$5,459.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,347.71 / $1,640.45 / $2,322.39	Facility		$1,347.71	$1,640.45	$2,322.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,486.18 / $1,632.71 / $2,027.24	Professional		$1,486.18	$1,632.71	$2,027.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $887.86 / $1,278.92 / $1,458.11	Professional		$887.86	$1,278.92	$1,458.11
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 $761.51 / $1,256.17 / $1,954.04	Professional		$761.51	$1,256.17	$1,954.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,446.50 / $1,769.80 / $1,769.80	Professional		$1,446.50	$1,769.80	$1,769.80