Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.47 / $771.47 / $3,511.00	Facility		$771.47	$771.47	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.66 / $771.47 / $1,288.82	Professional		$654.66	$771.47	$1,288.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,350.81 / $1,758.43 / $2,198.04	Professional		$1,350.81	$1,758.43	$2,198.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.18 / $1,254.23 / $2,026.32	Facility		$954.18	$1,254.23	$2,026.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $726.99 / $1,582.81 / $5,788.16	Professional		$726.99	$1,582.81	$5,788.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,164.70 / $1,919.19 / $3,711.03	Facility		$1,164.70	$1,919.19	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,164.70 / $1,614.48 / $2,094.53	Professional		$1,164.70	$1,614.48	$2,094.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $898.26 / $1,309.31 / $1,540.27	Professional		$898.26	$1,309.31	$1,540.27
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 $829.09 / $1,507.44 / $2,149.78	Professional		$829.09	$1,507.44	$2,149.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,528.00 / $1,869.60 / $1,869.60	Professional		$1,528.00	$1,869.60	$1,869.60