Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.13 / $766.13 / $4,338.00	Facility		$766.13	$766.13	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.65 / $766.13 / $1,816.97	Professional		$640.65	$766.13	$1,816.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,327.47 / $1,728.04 / $2,160.05	Professional		$1,327.47	$1,728.04	$2,160.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $928.86 / $1,294.76 / $1,877.15	Facility		$928.86	$1,294.76	$1,877.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $720.19 / $1,468.05 / $8,296.79	Professional		$720.19	$1,468.05	$8,296.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,081.33 / $1,744.26 / $2,369.30	Facility		$1,081.33	$1,744.26	$2,369.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,081.33 / $1,518.68 / $2,062.11	Professional		$1,081.33	$1,518.68	$2,062.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $876.41 / $1,207.53 / $1,501.45	Professional		$876.41	$1,207.53	$1,501.45
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 $768.98 / $1,390.50 / $2,163.00	Professional		$768.98	$1,390.50	$2,163.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,489.50 / $1,822.40 / $1,822.40	Professional		$1,489.50	$1,822.40	$1,822.40