Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.52 / $734.52 / $4,338.00	Facility		$734.52	$734.52	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.34 / $734.52 / $1,739.02	Professional		$614.34	$734.52	$1,739.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,273.01 / $1,657.15 / $2,071.42	Professional		$1,273.01	$1,657.15	$2,071.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $882.50 / $1,208.15 / $1,798.61	Facility		$882.50	$1,208.15	$1,798.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $683.76 / $1,405.07 / $5,410.32	Professional		$683.76	$1,405.07	$5,410.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,034.42 / $1,671.86 / $2,271.28	Facility		$1,034.42	$1,671.86	$2,271.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,034.42 / $1,433.31 / $1,975.63	Professional		$1,034.42	$1,433.31	$1,975.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $838.07 / $1,156.79 / $1,437.41	Professional		$838.07	$1,156.79	$1,437.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $735.99 / $1,338.16 / $2,073.40	Professional		$735.99	$1,338.16	$2,073.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,426.00 / $1,744.70 / $1,744.70	Professional		$1,426.00	$1,744.70	$1,744.70