Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.18 / $732.18 / $3,511.00	Facility		$732.18	$732.18	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.61 / $732.18 / $1,763.13	Professional		$617.61	$732.18	$1,763.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,281.39 / $1,668.05 / $2,085.07	Professional		$1,281.39	$1,668.05	$2,085.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $887.20 / $1,205.14 / $1,904.57	Facility		$887.20	$1,205.14	$1,904.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $689.19 / $1,492.70 / $5,449.12	Professional		$689.19	$1,492.70	$5,449.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,352.27 / $1,908.37 / $3,711.03	Facility		$1,352.27	$1,908.37	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,095.90 / $1,469.12 / $1,968.96	Professional		$1,095.90	$1,469.12	$1,968.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $854.78 / $1,238.92 / $1,457.47	Professional		$854.78	$1,238.92	$1,457.47
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $781.89 / $1,281.50 / $2,006.54	Professional		$781.89	$1,281.50	$2,006.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,445.90 / $1,769.10 / $1,769.10	Professional		$1,445.90	$1,769.10	$1,769.10