Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $679.29 / $679.29 / $4,338.00	Facility		$679.29	$679.29	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.51 / $618.48 / $1,387.17	Professional		$572.51	$618.48	$1,387.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,188.02 / $1,546.51 / $1,933.14	Professional		$1,188.02	$1,546.51	$1,933.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $888.85 / $1,162.56 / $1,766.22	Facility		$888.85	$1,162.56	$1,766.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $646.98 / $1,366.01 / $5,054.08	Professional		$646.98	$1,366.01	$5,054.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,254.07 / $1,675.58 / $8,250.46	Facility		$1,254.07	$1,675.58	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,004.08 / $1,408.45 / $1,830.52	Professional		$1,004.08	$1,408.45	$1,830.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $827.74 / $1,150.39 / $1,353.31	Professional		$827.74	$1,150.39	$1,353.31
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 $715.53 / $1,197.40 / $1,862.62	Professional		$715.53	$1,197.40	$1,862.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,342.50 / $1,642.60 / $1,642.60	Professional		$1,342.50	$1,642.60	$1,642.60