Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.75 / $719.75 / $3,511.00	Facility		$719.75	$719.75	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.07 / $719.75 / $1,636.85	Professional		$597.07	$719.75	$1,636.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,227.52 / $1,597.93 / $1,997.42	Professional		$1,227.52	$1,597.93	$1,997.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,193.90 / $1,651.07	Facility		$860.00	$1,193.90	$1,651.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $655.95 / $1,317.83 / $5,180.24	Professional		$655.95	$1,317.83	$5,180.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,715.74 / $3,711.03	Facility		$1,089.00	$1,715.74	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $955.86 / $1,411.97 / $1,883.35	Professional		$955.86	$1,411.97	$1,883.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $718.75 / $1,080.10 / $1,363.02	Professional		$718.75	$1,080.10	$1,363.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.22 / $1,189.44 / $1,850.24	Professional		$640.22	$1,189.44	$1,850.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,352.20 / $1,654.40 / $1,654.40	Professional		$1,352.20	$1,654.40	$1,654.40