Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.04 / $599.04 / $3,511.00	Facility		$599.04	$599.04	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.41 / $599.04 / $1,680.86	Professional		$505.41	$599.04	$1,680.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,049.17 / $1,365.76 / $1,707.20	Professional		$1,049.17	$1,365.76	$1,707.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $782.11 / $1,035.26 / $1,555.19	Facility		$782.11	$1,035.26	$1,555.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $637.48 / $1,217.01 / $5,361.75	Professional		$637.48	$1,217.01	$5,361.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,433.30 / $1,969.98	Facility		$1,089.00	$1,433.30	$1,969.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $892.64 / $1,337.19 / $1,605.59	Professional		$892.64	$1,337.19	$1,605.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $726.96 / $1,011.82 / $1,190.30	Professional		$726.96	$1,011.82	$1,190.30
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 $637.48 / $1,159.06 / $1,632.54	Professional		$637.48	$1,159.06	$1,632.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,180.80 / $1,444.80 / $1,444.80	Professional		$1,180.80	$1,444.80	$1,444.80