Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $717.00 / $717.00	Facility		$717.00	$717.00	$717.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.07 / $717.00 / $1,732.20	Professional		$605.07	$717.00	$1,732.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,261.64 / $1,642.34 / $2,052.92	Professional		$1,261.64	$1,642.34	$2,052.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $938.24 / $1,231.30 / $1,836.57	Facility		$938.24	$1,231.30	$1,836.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.40 / $1,447.85 / $5,488.46	Professional		$758.40	$1,447.85	$5,488.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,064.06 / $1,611.53 / $2,223.31	Facility		$1,064.06	$1,611.53	$2,223.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,064.06 / $1,560.00 / $1,927.98	Professional		$1,064.06	$1,560.00	$1,927.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $868.84 / $1,194.55 / $1,431.59	Professional		$868.84	$1,194.55	$1,431.59
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $758.40 / $1,378.90 / $1,954.76	Professional		$758.40	$1,378.90	$1,954.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,420.20 / $1,737.60 / $1,737.60	Professional		$1,420.20	$1,737.60	$1,737.60