Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.95 / $716.95 / $3,511.00	Facility		$716.95	$716.95	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.07 / $716.95 / $1,727.55	Professional		$604.07	$716.95	$1,727.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,252.06 / $1,629.88 / $2,037.35	Professional		$1,252.06	$1,629.88	$2,037.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $938.98 / $1,181.23 / $1,870.97	Facility		$938.98	$1,181.23	$1,870.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.55 / $1,461.83 / $5,338.00	Professional		$691.55	$1,461.83	$5,338.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,769.74 / $8,250.46	Facility		$1,089.00	$1,769.74	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,074.72 / $1,491.04 / $1,933.44	Professional		$1,074.72	$1,491.04	$1,933.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $885.88 / $1,213.08 / $1,427.06	Professional		$885.88	$1,213.08	$1,427.06
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $691.55 / $1,266.34 / $1,969.88	Professional		$691.55	$1,266.34	$1,969.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,415.70 / $1,732.20 / $1,732.20	Professional		$1,415.70	$1,732.20	$1,732.20