Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.73 / $668.73 / $4,338.00	Facility		$668.73	$668.73	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.32 / $668.73 / $1,689.80	Professional		$567.32	$668.73	$1,689.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,319.53 / $1,509.12 / $1,886.40	Professional		$1,319.53	$1,509.12	$1,886.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $892.36 / $1,236.52 / $1,903.14	Facility		$892.36	$1,236.52	$1,903.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $788.34 / $1,505.01 / $7,925.30	Professional		$788.34	$1,505.01	$7,925.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,119.21 / $1,586.51 / $2,203.51	Facility		$1,119.21	$1,586.51	$2,203.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,119.21 / $1,586.51 / $1,898.77	Professional		$1,119.21	$1,586.51	$1,898.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $889.15 / $1,214.80 / $1,385.01	Professional		$889.15	$1,214.80	$1,385.01
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $635.30 / $1,157.26 / $1,897.34	Professional		$635.30	$1,157.26	$1,897.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,374.00 / $1,681.10 / $1,681.10	Professional		$1,374.00	$1,681.10	$1,681.10