Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.55 / $735.55 / $3,511.00	Facility		$735.55	$735.55	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.79 / $735.55 / $1,473.91	Professional		$619.79	$735.55	$1,473.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,283.78 / $1,671.17 / $2,088.96	Professional		$1,283.78	$1,671.17	$2,088.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $945.40 / $1,239.30 / $1,922.61	Facility		$945.40	$1,239.30	$1,922.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $690.95 / $1,492.37 / $5,479.12	Professional		$690.95	$1,492.37	$5,479.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,098.15 / $1,816.58 / $8,250.46	Facility		$1,098.15	$1,816.58	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,098.15 / $1,532.67 / $1,986.26	Professional		$1,098.15	$1,532.67	$1,986.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $897.07 / $1,244.97 / $1,464.58	Professional		$897.07	$1,244.97	$1,464.58
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 $652.79 / $1,314.70 / $2,023.28	Professional		$652.79	$1,314.70	$2,023.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,452.90 / $1,777.70 / $1,777.70	Professional		$1,452.90	$1,777.70	$1,777.70