Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.15 / $693.15 / $3,073.00	Facility		$693.15	$693.15	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.24 / $693.15 / $1,658.63	Professional		$584.24	$693.15	$1,658.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,213.76 / $1,580.01 / $1,975.02	Professional		$1,213.76	$1,580.01	$1,975.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $876.93 / $1,138.01 / $1,755.67	Facility		$876.93	$1,138.01	$1,755.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $651.92 / $1,379.32 / $5,135.04	Professional		$651.92	$1,379.32	$5,135.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,010.30 / $1,702.12 / $8,250.46	Facility		$1,010.30	$1,702.12	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,010.30 / $1,398.98 / $1,846.91	Professional		$1,010.30	$1,398.98	$1,846.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $821.19 / $1,146.18 / $1,373.37	Professional		$821.19	$1,146.18	$1,373.37
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 $722.50 / $1,313.64 / $1,875.33	Professional		$722.50	$1,313.64	$1,875.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,362.40 / $1,667.00 / $1,667.00	Professional		$1,362.40	$1,667.00	$1,667.00