Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.98 / $699.98 / $2,290.00	Facility		$699.98	$699.98	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.88 / $699.98 / $1,590.25	Professional		$580.88	$699.98	$1,590.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,194.01 / $1,554.30 / $1,942.88	Professional		$1,194.01	$1,554.30	$1,942.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $834.43 / $1,148.93 / $1,562.90	Facility		$834.43	$1,148.93	$1,562.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $637.87 / $1,261.28 / $5,035.04	Professional		$637.87	$1,261.28	$5,035.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $914.65 / $1,636.95 / $3,711.03	Facility		$914.65	$1,636.95	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $914.65 / $1,314.00 / $1,828.70	Professional		$914.65	$1,314.00	$1,828.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $698.08 / $1,014.04 / $1,324.85	Professional		$698.08	$1,014.04	$1,324.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $660.67 / $1,153.09 / $1,793.71	Professional		$660.67	$1,153.09	$1,793.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,314.30 / $1,608.10 / $1,608.10	Professional		$1,314.30	$1,608.10	$1,608.10