Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.30 / $718.30 / $3,511.00	Facility		$718.30	$718.30	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.41 / $718.30 / $1,873.47	Professional		$605.41	$718.30	$1,873.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.46 / $1,632.99 / $2,041.24	Professional		$1,254.46	$1,632.99	$2,041.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $940.37 / $1,235.39 / $1,727.55	Facility		$940.37	$1,235.39	$1,727.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $767.68 / $1,465.57 / $5,987.91	Professional		$767.68	$1,465.57	$5,987.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,831.49 / $8,250.46	Facility		$1,089.00	$1,831.49	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,076.98 / $1,607.69 / $1,936.18	Professional		$1,076.98	$1,607.69	$1,936.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $819.07 / $1,126.11 / $1,429.00	Professional		$819.07	$1,126.11	$1,429.00
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 $767.68 / $1,268.06 / $1,972.54	Professional		$767.68	$1,268.06	$1,972.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,417.60 / $1,734.50 / $1,734.50	Professional		$1,417.60	$1,734.50	$1,734.50