Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.11 / $779.11 / $4,338.00	Facility		$779.11	$779.11	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.90 / $779.11 / $1,789.75	Professional		$646.90	$779.11	$1,789.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,353.97 / $1,745.18 / $2,181.48	Professional		$1,353.97	$1,745.18	$2,181.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $925.07 / $1,274.46 / $2,221.34	Facility		$925.07	$1,274.46	$2,221.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $804.55 / $1,711.14 / $5,642.56	Professional		$804.55	$1,711.14	$5,642.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $1,997.10 / $6,855.77	Facility		$1,392.00	$1,997.10	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,283.15 / $1,639.29 / $2,034.52	Professional		$1,283.15	$1,639.29	$2,034.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $877.07 / $1,301.61 / $1,483.99	Professional		$877.07	$1,301.61	$1,483.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $910.27 / $1,340.57 / $2,078.30	Professional		$910.27	$1,340.57	$2,078.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,472.20 / $1,801.20 / $1,801.20	Professional		$1,472.20	$1,801.20	$1,801.20