Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.25 / $626.25 / $4,338.00	Facility		$626.25	$626.25	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.39 / $626.25 / $1,505.53	Professional		$528.39	$626.25	$1,505.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,097.65 / $1,428.87 / $1,786.09	Professional		$1,097.65	$1,428.87	$1,786.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $817.93 / $1,058.35 / $1,616.69	Facility		$817.93	$1,058.35	$1,616.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $592.07 / $1,263.32 / $4,655.76	Professional		$592.07	$1,263.32	$4,655.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,155.74 / $1,543.34 / $8,250.46	Facility		$1,155.74	$1,543.34	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $926.96 / $1,288.65 / $1,681.18	Professional		$926.96	$1,288.65	$1,681.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $752.03 / $1,055.33 / $1,245.28	Professional		$752.03	$1,055.33	$1,245.28
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 $592.07 / $1,261.63 / $1,710.04	Professional		$592.07	$1,261.63	$1,710.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,235.40 / $1,511.50 / $1,511.50	Professional		$1,235.40	$1,511.50	$1,511.50