Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.20 / $702.20 / $3,511.00	Facility		$702.20	$702.20	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.20 / $702.20 / $1,590.08	Professional		$583.20	$702.20	$1,590.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.58 / $1,562.87 / $1,953.59	Professional		$1,200.58	$1,562.87	$1,953.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $903.39 / $1,161.18 / $1,603.21	Facility		$903.39	$1,161.18	$1,603.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $641.02 / $1,290.01 / $5,057.35	Professional		$641.02	$1,290.01	$5,057.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,675.60 / $3,711.03	Facility		$1,089.00	$1,675.60	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $936.10 / $1,357.00 / $1,827.78	Professional		$936.10	$1,357.00	$1,827.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $698.75 / $1,048.83 / $1,323.56	Professional		$698.75	$1,048.83	$1,323.56
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 $639.42 / $1,162.53 / $1,808.38	Professional		$639.42	$1,162.53	$1,808.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,313.00 / $1,606.50 / $1,606.50	Professional		$1,313.00	$1,606.50	$1,606.50