Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.11 / $731.11 / $3,511.00	Facility		$731.11	$731.11	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.15 / $731.11 / $1,760.77	Professional		$616.15	$731.11	$1,760.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,253.20 / $1,662.60 / $2,078.25	Professional		$1,253.20	$1,662.60	$2,078.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $956.21 / $1,235.58 / $1,642.57	Facility		$956.21	$1,235.58	$1,642.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $726.17 / $1,479.14 / $5,633.52	Professional		$726.17	$1,479.14	$5,633.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,672.84 / $3,711.03	Facility		$1,089.00	$1,672.84	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,086.39 / $1,420.14 / $1,967.13	Professional		$1,086.39	$1,420.14	$1,967.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $794.34 / $1,083.25 / $1,452.94	Professional		$794.34	$1,083.25	$1,452.94
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $6,489.22	Facility		$4,500.00	$4,500.00	$6,489.22
United Facility/Professional Professional Modifier Low / Median / High Price $726.17 / $1,285.35 / $1,999.45	Professional		$726.17	$1,285.35	$1,999.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,441.40 / $1,763.60 / $1,763.60	Professional		$1,441.40	$1,763.60	$1,763.60