Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.26 / $625.26 / $3,511.00	Facility		$625.26	$625.26	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.33 / $625.26 / $1,503.48	Professional		$527.33	$625.26	$1,503.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.66 / $1,424.97 / $1,781.22	Professional		$1,094.66	$1,424.97	$1,781.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $777.05 / $1,028.50 / $1,615.12	Facility		$777.05	$1,028.50	$1,615.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.32 / $1,264.11 / $4,648.39	Professional		$588.32	$1,264.11	$4,648.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,540.95 / $3,711.03	Facility		$1,089.00	$1,540.95	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $927.95 / $1,287.22 / $1,679.35	Professional		$927.95	$1,287.22	$1,679.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $758.83 / $1,054.15 / $1,243.33	Professional		$758.83	$1,054.15	$1,243.33
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 $662.16 / $1,203.92 / $1,708.00	Professional		$662.16	$1,203.92	$1,708.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,233.40 / $1,509.20 / $1,509.20	Professional		$1,233.40	$1,509.20	$1,509.20