Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.94 / $684.94 / $3,511.00	Facility		$684.94	$684.94	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.77 / $684.94 / $1,676.08	Professional		$576.77	$684.94	$1,676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.40 / $1,557.42 / $1,946.78	Professional		$1,196.40	$1,557.42	$1,946.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $896.85 / $1,178.58 / $1,784.59	Facility		$896.85	$1,178.58	$1,784.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $727.75 / $1,389.34 / $5,361.75	Professional		$727.75	$1,389.34	$5,361.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,021.38 / $1,546.19 / $2,133.63	Facility		$1,021.38	$1,546.19	$2,133.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,534.19 / $1,846.91	Professional		$1,021.38	$1,534.19	$1,846.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $831.10 / $1,159.19 / $1,363.67	Professional		$831.10	$1,159.19	$1,363.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $727.75 / $1,223.94 / $1,880.65	Professional		$727.75	$1,223.94	$1,880.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,352.80 / $1,655.20 / $1,655.20	Professional		$1,352.80	$1,655.20	$1,655.20