Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.03 / $603.03 / $3,511.00	Facility		$603.03	$603.03	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.85 / $603.03 / $1,660.37	Professional		$508.85	$603.03	$1,660.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,055.75 / $1,374.33 / $1,717.92	Professional		$1,055.75	$1,374.33	$1,717.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $787.40 / $1,042.09 / $1,552.84	Facility		$787.40	$1,042.09	$1,552.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $628.09 / $1,199.08 / $5,297.48	Professional		$628.09	$1,199.08	$5,297.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,577.33 / $3,711.03	Facility		$1,089.00	$1,577.33	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $879.98 / $1,347.66 / $1,617.42	Professional		$879.98	$1,347.66	$1,617.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $727.39 / $1,013.45 / $1,198.06	Professional		$727.39	$1,013.45	$1,198.06
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 $628.09 / $1,057.11 / $1,644.41	Professional		$628.09	$1,057.11	$1,644.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,188.50 / $1,454.20 / $1,454.20	Professional		$1,188.50	$1,454.20	$1,454.20