Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.43 / $695.43 / $4,338.00	Facility		$695.43	$695.43	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.07 / $695.43 / $1,673.95	Professional		$586.07	$695.43	$1,673.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,214.35 / $1,580.79 / $1,975.99	Professional		$1,214.35	$1,580.79	$1,975.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $910.32 / $1,175.28 / $1,811.56	Facility		$910.32	$1,175.28	$1,811.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $661.71 / $1,397.47 / $5,175.84	Professional		$661.71	$1,397.47	$5,175.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,284.14 / $1,715.96 / $3,711.03	Facility		$1,284.14	$1,715.96	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,027.53 / $1,444.27 / $1,876.07	Professional		$1,027.53	$1,444.27	$1,876.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $848.84 / $1,175.69 / $1,383.07	Professional		$848.84	$1,175.69	$1,383.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $732.01 / $1,330.92 / $1,909.29	Professional		$732.01	$1,330.92	$1,909.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,372.10 / $1,678.80 / $1,678.80	Professional		$1,372.10	$1,678.80	$1,678.80