Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.22 / $725.22 / $3,073.00	Facility		$725.22	$725.22	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.36 / $725.22 / $1,738.95	Professional		$611.36	$725.22	$1,738.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,270.02 / $1,653.25 / $2,066.56	Professional		$1,270.02	$1,653.25	$2,066.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $883.69 / $1,168.77 / $1,864.56	Facility		$883.69	$1,168.77	$1,864.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $682.33 / $1,467.73 / $5,378.24	Professional		$682.33	$1,467.73	$5,378.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,075.09 / $1,619.35 / $2,020.28	Facility		$1,075.09	$1,619.35	$2,020.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,075.09 / $1,488.84 / $1,943.46	Professional		$1,075.09	$1,488.84	$1,943.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $788.37 / $1,217.55 / $1,439.35	Professional		$788.37	$1,217.55	$1,439.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $659.72 / $1,271.45 / $1,977.81	Professional		$659.72	$1,271.45	$1,977.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,427.90 / $1,747.10 / $1,747.10	Professional		$1,427.90	$1,747.10	$1,747.10